Bleeding duodenal lipoma successfully treated with endoscopic polypectomy

Tung, C. J.; Chow, Wai-Keung; Peng, Yen‐Chun; Chen, Gran‐Hum; Yang, Dar-Yu; Kwan, Po-Cheung

doi:10.1067/mge.2001.113916

Cited by 25 publications

(29 citation statements)

References 9 publications

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“…They are usually asymptomatic and are discovered incidentally during endoscopy or surgery (1,2,6,8). Symptoms are generally related to the size of lipomas, and dyspepsia, epigastric fullness after meals, intestinal obstruction, or iron deficiency anemia due to occult or massive hemorrhage can be observed especially in duodenal lipomas larger than four centimeters (3,(7)(8)(9). It is reported that 75% of duodenal lipomas that are larger than four centimeters are symptomatic (9).…”

Section: Discussionmentioning

confidence: 99%

“…They are usually asymptomatic and discovered incidentally during endoscopy or surgery (2,6). They can be directly visualized on upper GI endoscopy and often have a characteristic appearance (6,7). Although endoscopic features support the diagnosis, appearance and superficial endoscopic forceps biopsies are not sufficient for a definitive diagnosis due to their submucosal location (3,(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…They can be directly visualized on upper GI endoscopy and often have a characteristic appearance (6,7). Although endoscopic features support the diagnosis, appearance and superficial endoscopic forceps biopsies are not sufficient for a definitive diagnosis due to their submucosal location (3,(6)(7)(8). Computer tomography, magnetic resonance imaging and endoscopic ultrasonography can provide important information for differential diagnosis (4,5,8).…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms are related to the size of the lesion; those larger than four centimeters often present with intussusception, obstruction or bleeding (1,4,7,9). Symptomatic duodenal lipomas require treatment and the current treatment of choice is endoscopic resection (1,2,4,7,8).…”

Section: Introductionmentioning

confidence: 99%

“…Symptomatic duodenal lipomas require treatment and the current treatment of choice is endoscopic resection (1,2,4,7,8). "Snare" polypectomy can be safely used in lipomas that have not grown extensively or those with a pedicle (2,7).…”

Section: Introductionmentioning

confidence: 99%

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Symptomatic duodenal lipoma with endoscopic snare polypectomy

Yaman

Derıcı

Paksoy

2014

UCD

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Duodenal lipomas are extremely rare benign tumors. 90% arise from the submucosa and is usually localized in the second portion. They are usually asymptomatic and are detected incidentally during endoscopy or surgery. Appearance of symptoms are related to lesion size, those greater than four centimeters frequently may cause intussusception, obstruction or bleeding. A 59-year-old woman presented with complaints of abdominal fullness in the upper quadrants after meals, and heartburn symptoms. She had been under treatment for iron deficiency anemia during the last five months. The upper gastrointestinal endoscopy revealed a mobile, 4x2 cm polypoid mass extending from the second portion of the duodenum to the third portion, with a regular mucosa and wide pedicle. Saline and epinephrine was injected to polyp base and "snare" polypectomy was performed. Patient's complaint of fullness in the upper part of the abdomen declined after polypectomy and the treatment of anemia was discontinued after a month, with normal blood count values in the fourth month.

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