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, 25 (5), 268-270

Large Pedunculated Lipoma of the Colon: Endoscopic Resection Using "Loop-and-Let-Go" Technique

Affiliations

Large Pedunculated Lipoma of the Colon: Endoscopic Resection Using "Loop-and-Let-Go" Technique

Elisa Gravito-Soares et al. GE Port J Gastroenterol.

Abstract

No abstract available

Keywords: Colon; Endoscopic resection; Loop-and-let-go technique; Pedunculated lipoma.

Figures

Fig. 1
Fig. 1
Endoscopic appearance of a large, yellowish, and pedunculated subepithelial lesion with 30 mm of head diameter and 45 mm of stalk length, located at the sigmoid colon (a-c). A “loop-and-let-go” technique was performed using a 30-mm endoloop® (Olympus, Tokyo, Japan), maneuvered to capture the lipoma's head and then carefully placed at the base of the stalk, along its insertion on the colonic mucosa, with visible reduction of lesion vascularization following controlled closure using a sheath (d-g).
Fig. 2
Fig. 2
Macroscopic appearance of the polyp recovered by the patient showing a 30-mm beige polypoid formation with a smooth outer surface and a very long and relatively thin stalk with 45 mm in length (a, b).
Fig. 3
Fig. 3
Histopathology of recovered specimen showing 30 mm × 15 mm × 0.5 mm of mature adipose tissue at the submucosal layer, composed by adipocytes with small and peripheral nuclei and one large-sized vacuole, occasionally interspersed with thin fibrous septa, in relation to a submucosal lipoma (R0 resection) (a-c).

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