Abstract
We read with interest the article by Koo & Kaffes [1] on a novel endoscopic technique for removing large colonic lipomas in which an endoloop was used to reduce the potential risk of bleeding. The device allowed successful endoscopic removal of four lipomas in three symptomatic patients, resulting in resolution of their symptoms without major complications. They used a two-channel endoscope, and placed an endoloop around the tumor base with the assistance of a grasping forceps. The technique had already been reported for the endoscopic removal of large pedunculated polyps [2] and large lipomas [3]. The main drawback of this technique, however, is that two-channel endoscopes are not available in every hospital [4].
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