Author/Authors :
Bostancı, Mustafa Taner Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey , Aksoy, Erol Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey , Dalgıç, Tahsin Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey , Ulaş, Murat Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey , Çaparlar, Mehmet Ali Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey , Öfkeli, Özcem Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey , Özer, İlter Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey , Bostancı, Erdal Birol Turkey Yüksek Ihtisas Hospital - Department of Gastroenterologic Surgery, Turkey
Abstract :
Objective: Leiomyomas are the most common benign esophageal neoplasms. Surgical treatment is the therapy of choice for such tumors. In this study, we submitted results of 6 patients with distal esophageal leiomyomas who underwent surgical treatment during a 5-year period. The aim of the current study was to evaluate the long-term outcomes of patients with leiomyoma located at distal esophagus who had undergone distal esophagectomy and esophagogastrostomy. Method: Demographic features, clinical and laboratory findings including symptoms, diagnosis, histopathology, and results of surgical treatment were examined. Results: 6 patients (four women, two men; mean age 48.8y) were operated due to leiomyoma located at the lower esophagus. The most common symptoms were dysphagia and dyspepsia. Dis-tal esophagectomy and esophagogastrostomy was performed to all patients with a median lapara-thomy and a right posterolateral thoracotomy. All patients were relieved from their symptoms without postoperative mortality, while pneumonia was occured in one patient which is treated medically. Conclusions: Esophageal leiomyoma is a benign tumor which becomes symptomatic in large seizes. Surgical resection is considered to be effective for distal esophageal leiomyomas, without complications.