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, 40 (12), 958-61

Safe Endoscopic Treatment of Large Colonic Lipomas Using Endoscopic Looping Technique

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Safe Endoscopic Treatment of Large Colonic Lipomas Using Endoscopic Looping Technique

T Kaltenbach et al. Dig Liver Dis.

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.

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