Abstract :Benign esophageal tumors are less common than esophageal malignancies. Benign lesions may
reach gigantic size and then provoke dysphagia, chest pain, food regurgitation, and weight loss
typical of other more common diseases of the esophagus. There are scanty reports in the literature
available describing different approaches in the surgical treatment of giant esophageal polyps. We
present a case of a 65-year-old male patient with a 14.5 cm × 5.5 cm × 4 cm fibrovascular esophageal
polyp originating from the hypopharynx. The diagnostic modalities include endoscopy, computer
tomography, magnetic-resonance imaging, and virtual angiography. Under general anesthesia with
transnasal endotracheal reinforced tube, an endoscopic approach by using of a Weerda distending
diverticuloscope is achieved. Manipulations are performed with a flexible gastroscope and 10
mm 30° angled laparoscope. The flexible endoscope passes easily around the mass and reaches
the stomach without any signs of esophageal wall injury. After catching the polyp’s pedicle with a
suture loop, it is sclerotized and resected with 5-mm laparoscopic Ligasure. There are no pertinent
publications on this approach in the literature available yet. Because of the considerable polyp size, a
transgastric extraction is carried out. The postoperative course is uneventful. There is no recurrence
after two-year follow-up.