Symptomatic duodenal lipoma with endoscopic snare polypectomy

Yaman, İsmail; Derıcı, Hayrullah; Paksoy, Serpil

doi:10.5152/ucd.2014.2069

Cited by 11 publications

(9 citation statements)

References 9 publications

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“…[5][6][7][8][9][10][11] We summarized a review of the literature on duodenal lipomas with GI bleeding (Table 1). [5][6][7][8][9][10][11][12][13][14][15] We conducted an online search in PubMed for "duodenal lipoma" and "bleeding". The etiology of the ulceration and bleeding in the lipomas was unclear, the overlying mucosae of most duodenal lipomas were intact, and some duodenal lipomas had mucosae with areas of ulceration or erosion.…”

Section: Discussionmentioning

confidence: 99%

A Case of a Bleeding Duodenal Lipoma Successfully Controlled by Endoscopic Resection

Gwak¹,

Lee²,

Lee³

2020

Clin Endosc

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This is a case report of successful endoscopic resection (ER) of a bleeding duodenal lipoma. An 85-year-old woman who was diagnosed with asymptomatic subepithelial tumor of the duodenum 3 years ago visited the emergency room with hematemesis and was admitted to our hospital. Emergent esophagogastroduodenoscopy revealed bleeding from an ulcer on the superior aspect of a subepithelial tumor measuring about 20 mm in diameter, at the superior duodenal angle. The ulcer was in the active stage (A1), with a visible vessel. The bleeding was controlled by ER of the tumor using a snare. The final pathological diagnosis was duodenal lipoma with mucosal ulceration. The patient showed no signs of bleeding for 10 days after the procedure; subsequently, she was discharged and followed up for regular checkups.

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Section: Discussionmentioning

confidence: 99%

A Case of a Bleeding Duodenal Lipoma Successfully Controlled by Endoscopic Resection

Gwak¹,

Lee²,

Lee³

2020

Clin Endosc

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“…Gastrointestinal lipomların endoskopik olarak çıkarılabilmesi için "snare" ile polipektomi, "endoloop", "unroofi ng", subtotal rezeksiyon veya submukozal diseksiyon tekniği kullanılabilir. Snare polipektomi ileri derecede büyük olmayan veya pediküllü lipomlarda güvenle uygulanabilir (11). Cerrahi tedavi intussusepsiyon veya obstrüksiyon gelişmiş olgularda, kitlenin malign potansiyelinin net olarak ekarte edilemediği durumlarda endike olabilir.…”

Section: Olguunclassified

Üst Gastrointestinal Obstrüksiyonun Nadir Nedeni: Büyük Lipomlar

Akin¹,

Tazegul²,

Tuna³

et al. 2018

Akd Med J

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Rare Cause of Upper Gastrointestinal Obstruction: Large Lipomas ÖZGastrointestinal lipomlar nadir görülen, benign ve yavaş büyüyen, genellikle tek olan ve submukozal yerleşim gösteren tümörlerdir. Sıklıkla asemptomatik olmakla ve insidental tanı almakla beraber, yerine ve büyüklüğüne göre kanama ve obstrüksiyon bulgularına sebep olabilirler. Semptom oluşturan büyük lipomlarda endoskopik veya cerrahi tedavi gerekli olabilir. Bu yazıda disfaji ve kusma gibi obstrüktif semptomlara neden olan ve endoskopik polipektomi ile tedavi edilen büyük özofageal ve duodenal lipom olguları bildirilmiştir.Anahtar Sözcükler: Gastrointestinal obstrüksiyon, Lipom, Özofagus, Duodenum, Endoskopi ABSTRACT Gastrointestinal lipomas are rare, benign, slow-growing, usually single and submucosal tumors. They are generally asymptomatic and diagnosed incidentally but may be a cause of bleeding and obstructive symptoms according to their size and location. Endoscopic or surgical treatment may be necessary for large symptomatic lipomas. In this article, large esophageal and duodenal lipomas, which caused obstructive symptoms such as dysphagia and vomiting and were treated by endoscopic polypectomy, are reported.

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“…6). Duodenal lipoma is an uncommon benign tumor with fewer than 230 reported cases [1,2]. Depending primarily on their size, gastrointestinal lipomas can become symptomatic and cause, for instance, bleeding, abdominal pain, intestinal obstruction, or intussusception [3,4].…”

Section: Cases and Techniques Library (Ctl) E627mentioning

confidence: 99%

Double-scope resection of a large duodenal polyp

et al. 2015

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An 83-year-old man underwent right colectomy with ileostomy because of Ogilvie syndrome with perforation of the ascending colon. After 10 days, the patient, who had multiple co-morbidities, had a myocardial infarction without ST-segment elevation. For this reason, percutaneous coronary intervention with the application of bare metal stents was required, and he subsequently received the standard dosage of antiplatelet therapy with acetylsalicylic acid and clopidogrel. Because of recurrent episodes of upper gastrointestinal bleeding with hematemesis and a decreasing hemoglobin level, an esophagogastroduodenoscopy was performed, which identified a large, bleeding, pedunculated polyp at the duodenal bulb (• " Fig. 1,• " Fig. 2). Because the stalk of the polyp was more than 10 cm long, it was impossible to pull the endoscopic snare (FlexSnare; Medwork, Höchstadt/Aisch, Germany) around the stalk. Therefore, an attempt was made to resect the polyp by bending the stalk into a U-shape close to its base in the polypectomy snare (• " Fig. 3). Resection with electrocoagulation was intended, but meanwhile bleeding occurred. After the injection of epinephrine 1 : 10 000 and the application of hemoclips (Long Clip HX-610-090L; Olympus, Tokyo, Japan), a clear view was restored. The stalk of the polyp had a diameter of approximately 1 cm. The endoscopic snare failed to cut through the whole polyp stalk, which was folded at its base, and caused only tangential injury. An effort was made to dissect the remaining polyp stalk by using the tip of the polypectomy

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Symptomatic duodenal lipoma with endoscopic snare polypectomy

Cited by 11 publications

References 9 publications

A Case of a Bleeding Duodenal Lipoma Successfully Controlled by Endoscopic Resection

A Case of a Bleeding Duodenal Lipoma Successfully Controlled by Endoscopic Resection

Üst Gastrointestinal Obstrüksiyonun Nadir Nedeni: Büyük Lipomlar

Double-scope resection of a large duodenal polyp

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