{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:05:48Z","timestamp":1753877148489,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T00:00:00Z","timestamp":1596153600000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Associazione Italiana Ricerca ESofago"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Esophageal lipoma is a rare neoplasm with heterogeneous and sometimes life-threatening clinical presentation. We report the case of two patients, a 77-year-old man and a 69-year-old woman presenting with heartburn and dysphagia, and with recurrent vomiting and asphyxia, respectively. Upper gastrointestinal endoscopy and computed tomography were highly suggestive of the diagnosis of esophageal lipoma and identified an intramural and an intraluminal pedunculated mass originating, respectively, from the distal and the cervical esophagus. The first patient was treated by laparoscopic transhiatal enucleation and the second by transoral endoscopic resection under general anesthesia. Both had an uneventful postoperative course and were discharged home on postoperative day 2. Minimally invasive excision of esophageal lipoma is feasible and effective. It may be life-saving in patients with pedunculated tumors who suffer from intermittent regurgitation of a bulky polypoid mass in the mouth causing asphyxia.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa123","type":"journal-article","created":{"date-parts":[[2020,4,10]],"date-time":"2020-04-10T19:10:49Z","timestamp":1586545849000},"source":"Crossref","is-referenced-by-count":5,"title":["Minimally invasive approach to esophageal lipoma"],"prefix":"10.1093","volume":"2020","author":[{"given":"Daniele","family":"Bernardi","sequence":"first","affiliation":[{"name":"University of Milan, Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7058-5011","authenticated-orcid":false,"given":"Davide","family":"Ferrari","sequence":"additional","affiliation":[{"name":"University of Milan, Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Siboni","sequence":"additional","affiliation":[{"name":"University of Milan, Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5787-4433","authenticated-orcid":false,"given":"Matteo","family":"Porta","sequence":"additional","affiliation":[{"name":"University of Milan, Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Bruni","sequence":"additional","affiliation":[{"name":"Pathology Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4880-1670","authenticated-orcid":false,"given":"Luigi","family":"Bonavina","sequence":"additional","affiliation":[{"name":"University of Milan, Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, Milano, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,7,31]]},"reference":[{"key":"2020073110270534400_ref1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.3941\/jrcr.v6i7.1015","article-title":"Esophageal lipoma: a rare tumor","volume":"6","author":"Feldman","year":"2012","journal-title":"Radiol Case"},{"key":"2020073110270534400_ref2","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.2214\/ajr.155.6.2122666","article-title":"Gastrointestinal lipomas: a radiologic and pathologic review","volume":"155","author":"Taylor","year":"1990","journal-title":"Am J Roentgenol"},{"key":"2020073110270534400_ref3","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1007\/BF02470832","article-title":"Lipoma of the esophagus - report of a case and review of the literature","volume":"20","author":"Akiyama","year":"1990","journal-title":"Jpn J Surg"},{"key":"2020073110270534400_ref4","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/S0022-5223(19)43052-3","article-title":"Sudden death due to regurgitation of a pedunculated esophageal lipoma","volume":"54","author":"Allen","year":"1967","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2020073110270534400_ref5","first-page":"1614","article-title":"Pedunculated giant lipoma of the esophagus","volume":"85","author":"Zschiedrich","year":"1990","journal-title":"Am J Gastroenterol"},{"key":"2020073110270534400_ref6","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.athoracsur.2005.05.106","article-title":"Large pedunculated polyps originating in the esophagus and hypopharynx","volume":"81","author":"Caceres","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"2020073110270534400_ref7","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1111\/j.1442-2050.2007.00710.x","article-title":"Fibrovascular polyp of the esophagus requiring esophagectomy","volume":"20","author":"Kanaan","year":"2007","journal-title":"Dis Esophagus"},{"key":"2020073110270534400_ref8","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1148\/rg.334135027","article-title":"From the radiologic pathology archives: esophageal neoplasms: radiologic-pathologic correlation","volume":"33","author":"Lewis","year":"2013","journal-title":"Radiographics"},{"key":"2020073110270534400_ref9","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1038\/modpathol.2017.140","article-title":"Polypoid fibroiadipose tumors of the esophagus: \u201cgiant fibrovascular polyp\u201d or liposarcoma? A clinicopathological and molecular cytogenetic study of 13 cases","volume":"31","author":"Graham","year":"2018","journal-title":"Mod Pathol"},{"key":"2020073110270534400_ref10","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1007\/s11605-019-04210-3","article-title":"Clinical outcomes of minimally invasive enucleation of leiomyoma of the esophagus and esophagogastric junction","volume":"24","author":"Milito","year":"2020","journal-title":"J Gastrointest Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/7\/rjaa123\/33553623\/rjaa123.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/7\/rjaa123\/33553623\/rjaa123.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T14:30:08Z","timestamp":1596205808000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa123\/5870352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,1]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa123","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,7]]},"published":{"date-parts":[[2020,7,1]]},"article-number":"rjaa123"}}