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Dig Liver Dis. 2008 Dec;40(12):958-61. doi: 10.1016/j.dld.2008.03.010. Epub 2008 Apr 23.

Safe endoscopic treatment of large colonic lipomas using endoscopic looping technique.

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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.

PMID:
18434264
DOI:
10.1016/j.dld.2008.03.010
[Indexed for MEDLINE]
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