T Kaltenbach1, D Milkes, S Friedland, R Soetikno. 1. Veterans Affairs Palo Alto Health Care System, Stanford University School of Medicine, Palo Alto, CA 94304, USA.
Abstract
PURPOSE: Colonic lipomas are benign, submucosal tumours that are usually asymptomatic. Typically, they are incidentally diagnosed during colonoscopy. Due to a low prevalence, the natural history of lipomas remains largely unknown. While large (>2 cm) lesions can cause symptoms and complications, their endoscopic treatment is not routinely recommended because of prior reports of a high rate of perforation. METHODS: We used a standardized technique of polypectomy, using endoscopic looping to resect large colonic lipomas in 8 patients and followed their clinical outcomes. RESULTS: The mean lipoma size was 3.8+/-1.2 cm (range 2.5-6 cm). No patient developed bleeding or perforation. On follow-up (mean=13.5 months, range 2-29), there was one small residual lesion. CONCLUSION: Colonic lipomas larger than 2 cm can be safely and efficaciously removed using endoloop assisted polypectomy technique.
PURPOSE:Colonic lipomas are benign, submucosal tumours that are usually asymptomatic. Typically, they are incidentally diagnosed during colonoscopy. Due to a low prevalence, the natural history of lipomas remains largely unknown. While large (>2 cm) lesions can cause symptoms and complications, their endoscopic treatment is not routinely recommended because of prior reports of a high rate of perforation. METHODS: We used a standardized technique of polypectomy, using endoscopic looping to resect large colonic lipomas in 8 patients and followed their clinical outcomes. RESULTS: The mean lipoma size was 3.8+/-1.2 cm (range 2.5-6 cm). No patient developed bleeding or perforation. On follow-up (mean=13.5 months, range 2-29), there was one small residual lesion. CONCLUSION:Colonic lipomas larger than 2 cm can be safely and efficaciously removed using endoloop assisted polypectomy technique.
Authors: Hye Kyong Jeong; Sung Bum Cho; Tae Jin Seo; Kyoung Rok Lee; Wan Sik Lee; Hyun Soo Kim; Young Eun Joo Journal: Gut Liver Date: 2011-08-18 Impact factor: 4.519