Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 16, 2015; 7(3): 290-294
Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.290
Esophageal papilloma: Flexible endoscopic ablation by radiofrequency
Gianmattia del Genio, Federica del Genio, Pietro Schettino, Paolo Limongelli, Salvatore Tolone, Luigi Brusciano, Manuela Avellino, Chiara Vitiello, Giovanni Docimo, Angelo Pezzullo, Ludovico Docimo
Gianmattia del Genio, Paolo Limongelli, Salvatore Tolone, Luigi Brusciano, Chiara Vitiello, Giovanni Docimo, Ludovico Docimo, XI Division of General and Bariatric Surgery, Department of Surgery, Second University of Naples, 80131 Naples, Italy
Federica del Genio, Center of Esophago-gastric and Bariatric Surgery (E.G.O.), Clinica C.G. Ruesch, 80122 Naples, Italy
Pietro Schettino, Manuela Avellino, Angelo Pezzullo, Surgical Endoscopy, Department of Surgery, Second University of Naples, 80131 Naples, Italy
Author contributions: All authors contributed to this work.
Ethics approval: The study was reviewed and approved.
Informed consent: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest: Drs. Gianmattia del Genio et al have no conflict of interest, financial ties or funding source to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Gianmattia del Genio, MD, PhD, Professor, FACS, XI Division of General and Bariatric Surgery, Department of Surgery, Second University of Naples, Via Pansini, 5, Padiglione 17, 80131 Naples, Italy. gianmattia.delgenio@unina2.it
Telephone: +39-081-5666773 Fax: +39-081-5666237
Received: July 6, 2014
Peer-review started: July 6, 2014
First decision: August 28, 2014
Revised: January 5, 2015
Accepted: January 15, 2015
Article in press: January 19, 2015
Published online: March 16, 2015
Abstract

Squamous papilloma of the esophagus is a rare benign lesion of the esophagus. Radiofrequency ablation is an established endoscopic technique for the eradication of Barrett esophagus. No cases of endoscopic ablation of esophageal papilloma by radiofrequency ablation (RFA) have been reported. We report a case of esophageal papilloma successfully treated with a single session of radiofrequency ablation. Endoscopic ablation of the lesion was achieved by radiofrequency using a new catheter inserted through the working channel of endoscope. The esophageal ablated tissue was removed by a specifically designed cup. Complete ablation was confirmed at 3 mo by endoscopy with biopsies. This case supports feasibility and safety of as a new potential indication for BarrxTM RFA in patients with esophageal papilloma.

Keywords: Esophageal papilloma, Endoscopic ablation, Radiofrequency, Minimally invasive, Natural orifice transluminal endoscopic surgery

Core tip: This paper reports for the first time a flexible endoscopic treatment of esophageal papilloma by a new radiofrequency system that goes into the working channel of the endoscope. This allows the endoscopist to see what he is doing along the procedure and to complete the procedure in few minutes. The procedure was performed without particular difficulties and did not required elevated skills.