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Lipoma of the small intestine treated with endoscopic resection.
Clin J Gastroenterol. 2014 Dec; 7(6):502-5.CJ

Abstract

We report a case of lipoma of the small intestine that was treated by endoscopic resection. A 79-year-old man who complained of tarry stool was diagnosed as having jejunal tumor at a neighboring clinic. Computed tomography (CT) and enteroscopy demonstrated an ulcerating jejunal mass. Because the tumor was considered to be the source of bleeding, we removed it under double-balloon endoscopy with a SB knife without any procedure-related complications. Histological examination revealed that the tumor was composed of mature adipose tissue, compatible with lipoma. SB knife, a scissors-type device for submucosal dissection, may be more appropriate than snare polypectomy for removal of small bowel tumors, because it can control bleeding readily and satisfactorily. Our experience suggests that submucosal dissection may be an appropriate procedure for removal of lipomas of the intestine. Endoscopic resection with SB knife and double-balloon endoscopy is a potential option to avoid surgical resection in the management of tumors of the small intestine.

Authors+Show Affiliations

Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Uchimaru 19-1, Morioka, Iwate, 020-8505, Japan, yousuke.toya@gmail.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25414085

Citation

Toya, Yosuke, et al. "Lipoma of the Small Intestine Treated With Endoscopic Resection." Clinical Journal of Gastroenterology, vol. 7, no. 6, 2014, pp. 502-5.
Toya Y, Endo M, Orikasa S, et al. Lipoma of the small intestine treated with endoscopic resection. Clin J Gastroenterol. 2014;7(6):502-5.
Toya, Y., Endo, M., Orikasa, S., Sugai, T., & Matsumoto, T. (2014). Lipoma of the small intestine treated with endoscopic resection. Clinical Journal of Gastroenterology, 7(6), 502-5. https://doi.org/10.1007/s12328-014-0538-7
Toya Y, et al. Lipoma of the Small Intestine Treated With Endoscopic Resection. Clin J Gastroenterol. 2014;7(6):502-5. PubMed PMID: 25414085.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lipoma of the small intestine treated with endoscopic resection. AU - Toya,Yosuke, AU - Endo,Masaki, AU - Orikasa,Shunsuke, AU - Sugai,Tamotsu, AU - Matsumoto,Takayuki, Y1 - 2014/11/21/ PY - 2014/08/21/received PY - 2014/11/03/accepted PY - 2014/11/22/entrez PY - 2014/11/22/pubmed PY - 2015/7/16/medline SP - 502 EP - 5 JF - Clinical journal of gastroenterology JO - Clin J Gastroenterol VL - 7 IS - 6 N2 - We report a case of lipoma of the small intestine that was treated by endoscopic resection. A 79-year-old man who complained of tarry stool was diagnosed as having jejunal tumor at a neighboring clinic. Computed tomography (CT) and enteroscopy demonstrated an ulcerating jejunal mass. Because the tumor was considered to be the source of bleeding, we removed it under double-balloon endoscopy with a SB knife without any procedure-related complications. Histological examination revealed that the tumor was composed of mature adipose tissue, compatible with lipoma. SB knife, a scissors-type device for submucosal dissection, may be more appropriate than snare polypectomy for removal of small bowel tumors, because it can control bleeding readily and satisfactorily. Our experience suggests that submucosal dissection may be an appropriate procedure for removal of lipomas of the intestine. Endoscopic resection with SB knife and double-balloon endoscopy is a potential option to avoid surgical resection in the management of tumors of the small intestine. SN - 1865-7265 UR - https://www.unboundmedicine.com/medline/citation/25414085/Lipoma_of_the_small_intestine_treated_with_endoscopic_resection_ L2 - https://dx.doi.org/10.1007/s12328-014-0538-7 DB - PRIME DP - Unbound Medicine ER -