Document Detail


A novel technique for the treatment of a symptomatic giant colonic lipoma.
MedLine Citation:
PMID:  17705728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Submucosal lipomas are usually harmless neoplasms arising from submucosal adipocytes. They are found most commonly in the colon, but may develop in any part of the gastrointestinal tract. Most colonic lipomas are asymptomatic and need no treatment, whereas larger ones (>2 cm) may present with abdominal pain, changes in bowel habits, rectal bleeding, and intussusception or prolapse. The literature on the endoscopic resection of colonic lipomas is limited owing to the increased risk of colonic perforation. In this paper, we describe a novel technique for the treatment of colonic obstruction resulting from a giant lipoma by placing two large clips at the narrow base of the lipoma and performing multiple cuttings on the mucosa covering the fatty tissue by using a needle-knife to facilitate the fat's discharge into the colon's lumen. Our case showed that the endoclipping of semi- or pedunculated large colonic lipomas not amenable for endoloop ligation and associated with cuttings of the mucosa covering the fat is a promising new technique, which avoids the risk of perforation or bleeding of the snare cautery, especially in high-risk patients.
Authors:
Panagiotis Katsinelos; Grigoris Chatzimavroudis; Christos Zavos; George Paroutoglou; Basilis Papaziogas; Jannis Kountouras
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  17     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-20     Completed Date:  2007-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  467-9     Citation Subset:  IM    
Affiliation:
Department of Endoscopy and Motility Unit, G. Gennimatas General Hospital, Thessaloniki, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Colonic Neoplasms / surgery*
Colonoscopy / methods*
Female
Humans
Lipoma / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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