Subepithelial lesions in the distal esophagus

Abstract

A 49-year-old man was refered for endoscopic resection of two subepithelial lesions in his distal esophagus (Fig. 1A). He reported no special discomfort. Physical examination was normal. Miniprobe endoscopic ultrasonography (EUS) revealed the hypoechoic lesions originating from the second layer, with homogeneous echogenicity (Fig. 1B). We performed endoscopic resection for him since leiomyoma was suspected. A snare was applied, but pulsating bleeding developed after electroresection (Fig. 1C). Endoscopic clipping was used for hemostasis immediately.