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Non surgical management for massive gastric lipomatosis.
Int J Surg Case Rep. 2020; 66:149-152.IJ

Abstract

BACKGROUND

Gastric lipomatosis (GL) is defined as a lipomatous lesion with diffuse infiltration of the submucosal layer by adipose tissue with multiple lesions and must be differentiated from gastrointestinal lipomas, which are solitary submucosal masses composed of well-differentiated adipose tissue surrounded by a fibrous capsule. GL are uncommon, represents 5 % of gastrointestinal tract lipomas and less than 1∼3 % of all gastric tumors.

CASE PRESENTATION

A 65-year-old woman, who underwent non-operatively approach by Gastric lipomatosis. Non-specific gastrointestinal symptoms and endoscopic examination ruled out the possibility of mucosal ulceration or bleeding. Endoscopic ultrasonography and abdominal CT that confirmed gastric lipomatosis.

DISCUSSION

Gastric lipomas are usually small, solitary and asymptomatic, and are hence often detected incidentally, surgical management in asymptomatic patients still be a in debate.

CONCLUSION

Non operative management in massive gastic lipomatosis is appropiate when the patient is asymptomatic without mucosal ulceration, regardless of the amount of gastric lipomas. Avoiding patient the morbidity of a total gastrectomy.

Authors+Show Affiliations

Department of General Surgery, Fundación Santa Fe de Bogotá, Bogota Dc, Colombia; Department of Gastroenterology and Endoscopy, Fundación Santa Fe de Bogotá, Bogota Dc, Colombia.Department of General Surgery, Fundación Santa Fe de Bogotá, Bogota Dc, Colombia; Deparmten of Ocologic Surgery, Fundación Santa Fe de Bogotá, Bogota Dc, Colombia.Department of General Surgery, Fundación Santa Fe de Bogotá, Bogota Dc, Colombia.Department of General Surgery, Fundación Santa Fe de Bogotá, Bogota Dc, Colombia; Departmen of General Surgery, Universidad El Bosque, Bogota, Colombia.Department of General Surgery, Fundación Santa Fe de Bogotá, Bogota Dc, Colombia; Departmen of General Surgery, Universidad El Bosque, Bogota, Colombia.Departmen of General Surgery, Universidad El Bosque, Bogota, Colombia. Electronic address: mpedraza93@gmail.com.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31846867

Citation

Solano, Jaime, et al. "Non Surgical Management for Massive Gastric Lipomatosis." International Journal of Surgery Case Reports, vol. 66, 2020, pp. 149-152.
Solano J, Herrera G, Cadena M, et al. Non surgical management for massive gastric lipomatosis. International journal of surgery case reports. 2020;66:149-152.
Solano, J., Herrera, G., Cadena, M., Cabrera, L. F., Isaac, E., & Pedraza, M. (2020). Non surgical management for massive gastric lipomatosis. International Journal of Surgery Case Reports, 66, 149-152. https://doi.org/10.1016/j.ijscr.2019.11.047
Solano J, et al. Non Surgical Management for Massive Gastric Lipomatosis. International journal of surgery case reports. 2020;66:149-152. PubMed PMID: 31846867.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non surgical management for massive gastric lipomatosis. AU - Solano,Jaime, AU - Herrera,Gabriel, AU - Cadena,Manuel, AU - Cabrera,Luis Felipe, AU - Isaac,Efrain, AU - Pedraza,Mauricio, Y1 - 2019/12/03/ PY - 2019/09/16/received PY - 2019/11/15/revised PY - 2019/11/24/accepted PY - 2019/12/18/pubmed PY - 2019/12/18/medline PY - 2019/12/18/entrez KW - Gastrectomy and subepitelial KW - Gastric KW - Lipoma KW - Lipomatosis SP - 149 EP - 152 JF - International journal of surgery case reports VL - 66 N2 - BACKGROUND: Gastric lipomatosis (GL) is defined as a lipomatous lesion with diffuse infiltration of the submucosal layer by adipose tissue with multiple lesions and must be differentiated from gastrointestinal lipomas, which are solitary submucosal masses composed of well-differentiated adipose tissue surrounded by a fibrous capsule. GL are uncommon, represents 5 % of gastrointestinal tract lipomas and less than 1∼3 % of all gastric tumors. CASE PRESENTATION: A 65-year-old woman, who underwent non-operatively approach by Gastric lipomatosis. Non-specific gastrointestinal symptoms and endoscopic examination ruled out the possibility of mucosal ulceration or bleeding. Endoscopic ultrasonography and abdominal CT that confirmed gastric lipomatosis. DISCUSSION: Gastric lipomas are usually small, solitary and asymptomatic, and are hence often detected incidentally, surgical management in asymptomatic patients still be a in debate. CONCLUSION: Non operative management in massive gastic lipomatosis is appropiate when the patient is asymptomatic without mucosal ulceration, regardless of the amount of gastric lipomas. Avoiding patient the morbidity of a total gastrectomy. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/31846867/Non_surgical_management_for_massive_gastric_lipomatosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(19)30681-9 DB - PRIME DP - Unbound Medicine ER -
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