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Case Reports

Diffuse Esophageal Polyposis: An Uncommon Occurrence

^a Department of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina
^b Department of General Thoracic Surgery, Department of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina

Accepted for publication August 20, 2008.

^_* Address correspondence to Dr Giblin, Department of Cardiothoracic Surgery, Medical University of South Carolina, Ashley River Tower, 25 Courtenay Dr, Suite 7018, Charleston, SC 29425 (Email: gibline{at}hotmail.com).

The presence of multiple esophageal polyps on endoscopy is a rare entity. Most of the literature cited on this phenomenon is based on case reports and small series. A large proportion of the literature describes one or two polyps, with the majority of polyps occurring in the area of the gastroesophageal junction. We present a case of a 66-year-old woman with a history of gastroesophageal reflux disease that was found to have extensive esophageal polyposis of the mid-esophagus on upper endoscopy. The patient underwent a transhiatal esophagectomy. Final pathology was consistent with extensive polypoid dsyplasia in the presence of Barrett's esophagus.