"Giant" colon lipoma-to attempt endoscopic resection or not?

Chase, Michael P.; Yarze, Joseph C.

doi:10.1111/j.1572-0241.2000.02221.x

Cited by 17 publications

(17 citation statements)

References 4 publications

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“…Chase and Yarze [10] suggest that endoscopic ultrasound (EUS) could be used to determine whether the stalk of a lipoma contains serosal elements. After our anedoctal experience and by reviewing the international literature, we believe that the risk for perforation with large pedunculated lipomas is overstated and that the use of EUS routinely in these lipomas is unjustified: the current data show that, when clinically indicated, endoscopic removal of large (>2 cm in diameter) pedunculated colonic lipomas is safe when snare electrocautery is applied utilizing careful endoscopic technique.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature

Geraci

Pisello

Arnone

et al. 2010

Case Rep Gastroenterol

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Colonic lipomas are uncommon, benign, submucosal adipose tumors that are usually asymptomatic. Large lipomas can cause symptoms such as constipation, abdominal pain, rectal bleeding and intussusception. We report the case of a 60-year-old man with a history of lower abdominal pain and pseudoobstructive symptoms. Colonoscopy revealed a large polypoid sessile lesion in the sigma. We used a standardized technique of polypectomy, preceded by submucosal injection of dilute 5 ml polygelin with epinephrine 1:10,000 solution, to fully resect large colonic lipomas. The lipoma size was 3.5 cm. No bleeding or perforation developed. Histology showed the polyp to be a submucosul lipoma. On follow-up, there was no residual lesion. Colonic lipomas larger than 2 cm can be safely and efficaciously removed using electrosurgical snare polypectomy technique. The technique of submucosal injection before resection and using an electrocautery snare appears to be safe and reduces the risk of perforation reported in the literature.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature

Geraci

Pisello

Arnone

et al. 2010

Case Rep Gastroenterol

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“…As noted by Christie et al [9] and Stone et al [16], removal of truly pedunculated lipomas does not provide any increased risk as compared with the removal of any pedunculated adenomatous type polyp. However, it has been reported, that in some cases, what it is considered to be a stalk is rather a pseudopedicle caused by serosal invagination, which might include the muscularis propia and the serosal layers, and in this case cutting could be disastrous [17]. …”

Section: Discussionmentioning

confidence: 99%

Endoscopic resection of giant lipoma mimicking colonic neoplasm initially presenting with massive haemorrhage: a case report

et al. 2009

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Lipomas of the colon are benign tumors that rarely occur. Their size ranges from 2 mm to several cm. They are usually asymptomatic but occasionally they present with clinical manifestations depending on tumor size, localization and complications, which often lead to diagnostic difficulty. A 40-year-old man presented with massive rectal haemorrhage. During colonoscopy a giant polyp of over 50 mm in its bigger diameter, with a thick stalk of 2 cm, located in the transverse colon, was revealed. Endoscopic resection was performed with success. Histologic examination demonstrated a giant lipoma. In this report discussion over endoscopic resection of colonic lipomas mimicking neoplasms is also performed.

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“…Only 6% of lipomas are symptomatic [5–7]. Most of the time, the discovery is fortuitous during a colonoscopy or on a colectomy [5,6].…”

Section: Discussionmentioning

confidence: 99%

Intestinal subocclusion due to colonic lipoma: a case report

Bentama¹,

Chourak²,

Chemlal³

et al. 2011

Pan Afr Med Jrnl

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Colonic lipomas are rare benign tumors infrequently met in clinical practice. Most of them are asymptomatic making frequent their fortuitous discovery. The therapeutic approach to the fortuitous discovery of a lipoma is even less clear. The treatment depends essentially on the clinical picture, on the size of the lipoma and on its location. We report the case of a 31-year old woman, which sub-occlusive accidents events revealed a lipoma of the descending colon. The diagnosis was suspected on colonoscopy and segmental colectomy was performed. The diagnosis was confirmed by histological examination. We review the literature and discuss the clinical features, diagnosis and treatment of this uncommon disease.

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"Giant" colon lipoma-to attempt endoscopic resection or not?

Cited by 17 publications

References 4 publications

Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature

Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature

Endoscopic resection of giant lipoma mimicking colonic neoplasm initially presenting with massive haemorrhage: a case report

Intestinal subocclusion due to colonic lipoma: a case report

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