Loop-and-Let-Go: Treatment of a Large Colonic Lipoma After Unsuccessful Unroofing

Huang, Cherry; Steinhauser, Christina; Bush, Allister; Laczek, Jeffrey

doi:10.14309/crj.0000000000000848

Cited by 3 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Conversely, recent studies suggest that unroofing, due to its perceived low-risk nature, should be considered the primary treatment option, particularly for lipomas exceeding 20 millimeters in size or in cases involving patients with concurrent medical conditions [ 4 ]. Combining endoscopic treatment methods is also endorsed when initial interventions are insufficient [ 20 ]. Despite advancements in endoscopic treatment, colectomies remain the preferred option for addressing these benign lesions in many cases.…”

Section: Discussionmentioning

confidence: 99%

A Colonic Lipoma Causing Obstruction: A Case Report and Review of Literature

Pichioni,

Kokkinovasilis,

Stylianou

et al. 2023

Cureus

View full text Add to dashboard Cite

Colonic lipomas are rare benign lesions of the gastrointestinal tract. They are asymptomatic in the majority of cases. This report aims to present a case involving a 65-year-old female patient reporting rectal bleeding, loss of appetite, and alteration in bowel habits. First, she was submitted to colonoscopy which revealed a sizable ulcerative polypoid lesion in the descending colon, displaying histological characteristics consistent with a hyperplastic polyp and devoid of malignancy indications. An abdominal computed tomography followed which showed diffuse thickening of the colonic wall in the descending colon, resulting in nearly complete luminal obstruction and also a submucosal lipoma measuring 2.6 centimeters at the same location. Laparoscopic intervention ensued, and following a conclusive intraoperative diagnosis of a submucosal lipoma via frozen biopsy, a successful laparoscopic segmental resection of the descending colon with primary anastomosis was executed. Additionally, a comprehensive review of contemporary literature is provided to enhance the understanding of the management approaches applied in analogous cases since established treatment guidelines for colonic lipomas are currently lacking.

show abstract

Section: Discussionmentioning

confidence: 99%

A Colonic Lipoma Causing Obstruction: A Case Report and Review of Literature

Pichioni,

Kokkinovasilis,

Stylianou

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Two step methods via a subsequent EMR, or the loop and go technique have been described. We found this technique to be a safe, one-step approach for the treatment of these lesions, which also allowed to obtain a histological sample to confirm that the lesion was benign and no other treatment was needed 1 2 3 4 5 .…”

mentioning

confidence: 99%

Underwater endoscopic unroofing and enucleation as treatment for a large ulcerated colonic lipoma causing intussusception

Sierra Morales,

Rodríguez,

Centeno

et al. 2024

ESGE Days 2024

View full text Add to dashboard Cite

Extraction of terminal ileal lipomas to cecum can facilitate endoscopic resection: A case series with video

Yamazaki,

Minato,

Madhu

et al. 2024

DEN Open

View full text Add to dashboard Cite

Large ileal lipomas over 2 cm can cause symptoms, that may require a resection. Due to the narrow lumen and thin walls of the ileum, endoscopic treatments can have a high risk of adverse events and require technical expertise, thus surgical resection is currently the mainstay of treatment. To overcome the technical challenges, we developed a novel method to endoscopically resect terminal ileal lipomas. The technique involves extracting the lesion into the cecum, which creates sufficient space to maneuver, and a better field of view. The lipoma is resected with endoscopic mucosal resection or endoscopic submucosal dissection. The appearance of the lipoma protruding out of the ileocecal valve resembles that of a tongue sticking out of the mouth, thus we named this the “tongue out technique”. To assess the technical feasibility of this method, we retrospectively analyzed seven cases of terminal ileal lipoma that were endoscopically resected using the “tongue out technique” at NTT Medical Center Tokyo between January 2017 and October 2023. Technical success was 100% and en bloc resection was achieved in all cases. The median size was 31 (14–55) mm. Three cases were resected with endoscopic mucosal resection while endoscopic submucosal dissection was performed on the other four cases. There was one case of delayed post‐endoscopic mucosal resection bleeding, which was caused by clip dislodgement. There were no perforations. No recurrence of the lipoma or associated symptoms have been observed. This new technique can allow more ileal lipomas to be treated with minimally invasive and organ‐preserving endoscopic procedures.

show abstract

Loop-and-Let-Go: Treatment of a Large Colonic Lipoma After Unsuccessful Unroofing

Cited by 3 publications

References 12 publications

A Colonic Lipoma Causing Obstruction: A Case Report and Review of Literature

A Colonic Lipoma Causing Obstruction: A Case Report and Review of Literature

Underwater endoscopic unroofing and enucleation as treatment for a large ulcerated colonic lipoma causing intussusception

Extraction of terminal ileal lipomas to cecum can facilitate endoscopic resection: A case series with video

Contact Info

Product

Resources

About