Abstract
Gastrointestinal lipomas are usually asymptomatic, detected incidentally. However, they can cause severe symptoms such as obstruction, invagination, and bleeding. The transsection of an infarcted or large lipoma by needle sphincterotome (needle knife) and/or snare polypectomy of the upper part of the tumour is an option for the endoscopy treatment of giant infarcted lipomas. Cutting a top of lipoma (unroofing technique) allowed flow out of adipose tissue from the lipoma.
Highlights
Therapeutic optionsGastrointestinal lipomas are rare, benign, usually single, slowly growing mesenchymal tumours, mostly found in the colon (65%) and small bowel (20%) [1,2,3,4,5,6]
The remnant of lipoma stalk is marked with an arrow option for giant lipomas is endoscopic treatment by means of unroofing technique [24] to avoid surgery
Using the unroofing technique we cut off only the upper half or one third of the lipoma body using electrocautery snare
Summary
UNROOFING TECHNIQUE AS AN OPTION FOR THE ENDOSCOPIC TREATMENT OF GIANT GASTROINTESTINAL LIPOMAS. 2nd Department of Internal Medicine – Gastroenterology, Charles University in Prague, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Czech Republic. Summary: Gastrointestinal lipomas are usually asymptomatic, detected incidentally. They can cause severe symptoms such as obstruction, invagination, and bleeding. The transsection of an infarcted or large lipoma by needle sphincterotome (needle knife) and/or snare polypectomy of the upper part of the tumour is an option for the endoscopy treatment of giant infarcted lipomas. Cutting a top of lipoma (unroofing technique) allowed flow out of adipose tissue from the lipoma
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