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For open surgery it was There was no case of esophageal mucosal perforation or reconversion. Discussion Leiomyoma is the most common benign esophageal neoplasm.

Computed tomography in gastrointestinal stromal tumors. This approach has to be laparoscopic.

Endoscopic treatment for submucosal tumors of the esophagus: Endoscopic resection of submucosal tumor of the esophagus: No estudo de Kim et al. Gastroenterol Jpn ; Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumors.

Leiomyoma is relatively rare when compared with esophageal carcinoma, which occurs 50 times more frequently.

We do not systematically prove mucosal integrity, but for one case we used methylene blue and for another case insuflated air via a nasogastric tube. Os contornos foram classificados como regulares, lobulados ou irregulares, e os limites foram descritos como bem definidos, mal definidos ou invasivos.

One criticism may be that two patients had to be operated on a few months after surgery for persistent symptoms of gastroesophageal reflux that had started before enucleation, as we could have associated an antirreflux technique during the first surgery. Probably, the association of an antirreflux technique could be indicated in patients gqstrico enucleation to protect the muscular myotomy borders and to treat gastroesophageal reflux, but this point remains highly controversial 3.


Glaz and Liomioma 6 recommended that asymptomatic and mildly symptomatic patients should not undergo surgery but be regularly monitored using radiography and endoscopy every years instead. We had no case of mucosal perforation.

No death, intraoperative complication, or tumor relapse was described. The definitive anatomopathological diagnosis was in all cases esophageal leiomyoma except for one fastrico of esophageal duplication cyst. Int Surg ; Symptoms, when present, are generally nonspecific and longstanding, and the treatment of these tumors is enucleation. Fresneda Department of General Digestive Surgery.

Leiomioma gástrico

Nenhum paciente apresentou tumor menor que 5,0 cm. Endoscopic aspiration lumpectomy of esophageal leiomyomas derived from the muscularis mucosae. The most frequent symptoms were heartburn 5 casesdysphagia 3 casesand retrosternal pain 3 cases. We observed the typical aspect of leiomyomas with their firm consistency, white color, well encapsulated nature, and smooth or nodular surface. In two cases -thoracoscopic approaches- we performed an intraoperative endoscopy to check tumor localization.

Endoscopic resection of submucosal esophageal tumors: Interestingly there appears to be no direct correlation between tumor size and symptoms In contrast, we performed a simultaneous cholecistectomy in one case.

There was no case of conversion to open surgery either.


Tomographic findings of gastric gastrointestinal stromal tumor: a case study

Multiple small intestinal stromal tumours in a patient with previously unrecognized neurofibromatosis type 1: Da Ronch et al. Surgical enucleation has traditionally been the treatment of choice for these tumors, because it was an easier and faster procedure The surgical approach has classically been thoracotomy. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Case number 5 was operated on 11 months after first surgery, and case number 9 at 8 months. There was no case of multiple leiomyoma, and all had an intramural localization. When the balloon is intraluminally inflated, it promoted the expulsion of the tumor from the esophageal wall, vastrico facilitating thoracoscopic resection; however, there are few cases described in the literature with unreported complications and mortality 11, Follow-up of 18 treated patients.

Leiomioma gástrico | Napoleón | Flickr

J Comput Assist Tomogr. Size of the tumors was cm, with a mean size of 3.

Surgical treatment of esophageal leiomyoma: Introduction Leiomyoma is the most common benign esophageal neoplasm. The definitive diagnosis of these tumors can be made only by histologic examination.