Cao MK, Chen XY, Shen QY, Fan Z. Giant esophageal fibrovascular polyp with use of Sengstaken-Blakemore tube during surgery: A case report. World J Gastrointest Endosc 2026; 18(10): 126399 [DOI: 10.4253/wjge.126399]
Corresponding Author of This Article
Zhen Fan, MD, PhD, Professor, Chief Physician, Department of Gastroenterology, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, No. 261 Huansha Road, Shangcheng District, Hangzhou 310006, Zhejiang Province, China. fanzhenmd@163.com
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Gastroenterology & Hepatology
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case-report
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Cao MK, Chen XY, Shen QY, Fan Z. Giant esophageal fibrovascular polyp with use of Sengstaken-Blakemore tube during surgery: A case report. World J Gastrointest Endosc 2026; 18(10): 126399 [DOI: 10.4253/wjge.126399]
World J Gastrointest Endosc. Oct 16, 2026; 18(10): 126399 Published online Oct 16, 2026. doi: 10.4253/wjge.126399
Giant esophageal fibrovascular polyp with use of Sengstaken-Blakemore tube during surgery: A case report
Meng-Ke Cao, Xu-Yi Chen, Qi-Yao Shen, Zhen Fan
Meng-Ke Cao, Xu-Yi Chen, Qi-Yao Shen, The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou First People’s Hospital, Hangzhou 310006, Zhejiang Province, China
Zhen Fan, Department of Gastroenterology, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, Hangzhou 310006, Zhejiang Province, China
Author contributions: Cao MK contributed to manuscript writing and editing; Chen XY contributed to data collection; Shen QY contributed to figure collection; Zhen F contributed to revision and review of the manuscript; and all authors read and approved the final manuscript.
AI contribution statement: DeepSeek was used for language editing (grammar checking and revision) during the preparation of this manuscript. No AI tools were used in the processing of the original case data or images. All data and figures are authentic, original, and unmodified. The authors assume full responsibility for the entire manuscript. The AI tool is not listed as a co-author.
Supported by The Medical and Health Science and Technology Project of Hangzhou, No. ZD20240015.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Zhen Fan, MD, PhD, Professor, Chief Physician, Department of Gastroenterology, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, No. 261 Huansha Road, Shangcheng District, Hangzhou 310006, Zhejiang Province, China. fanzhenmd@163.com
Received: August 4, 2026 Revised: September 1, 2026 Accepted: September 28, 2026 Published online: October 16, 2026 Processing time: 72 Days and 16.8 Hours
Abstract
BACKGROUND
Esophageal fibrovascular polyp (FVP) is a rare benign tumor-like lesion of the esophagus, accounting for approximately 1%-2% of all benign esophageal tumors. FVPs with a diameter exceeding 5 cm are defined as giant fibrovascular polyps (GFVPs), with only a limited number of cases reported globally and domestically.
CASE SUMMARY
We report a case of a GFVP (12 cm × 6 cm × 3 cm) arising from the right pyriform sinus and protruding into the esophageal lumen. The patient presented with a 10-year history of recurrent nausea and vomiting accompanied by a throat foreign body sensation, with symptom exacerbation in the preceding four months. Following multidisciplinary evaluation by the Department of Gastroenterology and Otorhinolaryngology, the lesion was successfully resected via transoral low-temperature plasma resection under suspension laryngoscopy. Intraoperatively, a Sengstaken-Blakemore tube was applied. Its esophageal balloon was inflated below the mass for mechanically occluding the esophageal lumen. On that basis, distal migration of the mass after pedicle transection can be prevented, and complete resection can be ensured. The tumor was entirely resected. To be specific, the intraoperative blood loss was amounted to only 5 mL. The patient was discharged on postoperative day 7, and laryngoscopy at two weeks showed satisfactory healing at the surgical site.
CONCLUSION
The use of Sengstaken-Blakemore tube to prevent prolapse during FVP resection offers a new treatment option for some patients.
Core Tip: Fibrovascular polyp (FVP) are rare benign tumor-like lesion of the esophagus. Complete surgical resection is the traditional treatment for FVP. Notably, with advances in technology, transoral resection of esophageal lesions (primarily involving laryngoscopy and gastrointestinal endoscopy) has become increasingly feasible. However, resection of long-pedunculated polyps presents a major technical challenge. Once the pedicle is severed, the mass may fall into the distal esophagus or stomach, making retrieval difficult and potentially necessitating additional surgical intervention. This study reports a novel method that uses a Sengstaken-Blakemore tube to prevent this complication. To the best of our knowledge, this method has not been previously reported.
