Endoscopic Resection of Gastrointestinal Lipomas: a Single-center Experience

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2013 Sep 3

PMID 23996333

Citations 36

Authors

Kwang Jae Lee

Gwang Ha Kim

Do Youn Park

Na Ri Shin

Bong Eun Lee

Dong Yup Ryu

Dong Uk Kim

Geun Am Song

Affiliations

Soon will be listed here.

Abstract

Background: Gastrointestinal (GI) lipomas are benign, slow-growing subepithelial tumors. Most lipomas are detected incidentally at endoscopy, but they can cause GI bleeding, abdominal pain, intestinal obstruction, and intussusception, particularly if they are larger than 2 cm in diameter. The aim of this study was to investigate the efficacy, safety, and long-term prognosis of endoscopic treatment of GI lipomas.

Methods: A total of 28 GI lipomas treated endoscopically from January 2005 to June 2012 were retrospectively reviewed. Endoscopic treatment was performed by four methods: the unroofing technique, endoscopic mucosal resection (EMR), EMR after precutting (EMR-P), and endoscopic submucosal dissection (ESD).

Results: Of 28 GI lipomas, 5 were located in the stomach, 2 in the duodenum, and 21 in the colon. Thirteen lipomas were <2 cm in diameter (small lipoma), and the other 15 were ≥2 cm (large lipoma). The unroofing technique was performed in 2 cases, EMR in 17 cases, EMR-P in 4 cases, and ESD in 5 cases. En bloc resection was performed with 21 lesions (75 %), and endoscopic complete resection was achieved with 26 lesions (93 %). Incomplete resection occurred in the 2 cases treated by the unroofing technique. On pathologic examination, complete resection was achieved with 21 lesions (75 %). Delayed bleeding was observed in one patient. There were no serious complications such as perforation or post-procedural stricture. During the mean follow-up period of 19 months (range 2-91 months), no recurrence was observed.

Conclusions: Endoscopic treatment appears to be a safe and effective treatment for GI lipomas, including large lipomas (≥2 cm in diameter).

Citing Articles

Role of clinical and multidetector computed tomography (MDCT) features in the prediction of patients with intestinal lipoma developing intussusception.

Dong Q, Tang Y, Zhang C, Li X, Chen X, Wang Y Quant Imaging Med Surg. 2024; 14(6):3939-3950.

PMID: 38846289 PMC: 11151265. DOI: 10.21037/qims-23-1530.

Gastric Lipomas: A Case Series and Review of the Literature.

Jarrett S, Tito S, Chan M, Jarrett D, Lo K, DePalma R Case Rep Gastroenterol. 2024; 18(1):14-20.

PMID: 38197013 PMC: 10776135. DOI: 10.1159/000534973.

Use of simple endoscopic ligation to successfully remove a large torsional colonic lipoma causing intussusception.

Lan Y, Zhao S, Xu H Endoscopy. 2023; 55(S 01):E1150-E1151.

PMID: 37923400 PMC: 10624558. DOI: 10.1055/a-2194-4717.

Loop-and-let-go technique for the management of symptomatic large colonic lipoma.

Haider S, Peller M, Lamm V, Bazarbashi A VideoGIE. 2023; 8(8):325-327.

PMID: 37575145 PMC: 10422078. DOI: 10.1016/j.vgie.2023.04.003.

Successful endoscopic submucosal dissection of colorectal lipoma with an overlying adenoma.

Furuta A, Omoto S, Inoue T, Yanai M, Iwabe H, Takihara H JGH Open. 2023; 7(6):456-457.

PMID: 37359118 PMC: 10290265. DOI: 10.1002/jgh3.12901.

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