Esophageal papilloma: Flexible endoscopic ablation by radiofrequency

Figure 1 Endoscopic view of esophageal papilloma.

Figure 2 Esophageal biopsy showing papillary projections lined with acanthotic squamous epithelium (A: HE 4 ×; B: HE 10 ×).

Figure 3 Radiofrequency catheter inserted into standard flexible gastroscope operative channel (Barrx™, Covidien).

Figure 4 Radiofrequency pad is placed over the lesion under direct visualization (A); Ablation area after the first application of energy (B); Second application of the pad to include all the area of esophageal papilloma (C); Esophageal wound cleaned from debris by cleaning cup (D).