Korean Journal of Gastrointestinal Endoscopy 2008;36(4): 242-247.
Unroofing 기법을 포함한 단계적 내시경적 치료로 제거한 거대 대장 지방종 1예
신영국ㆍ김은영ㆍ전승운ㆍ허창재ㆍ김병석ㆍ신재욱†ㆍ정진태ㆍ권중구ㆍ조창호*
대구가톨릭대학교 의과대학 내과학교실, *병리학교실, †속보는 내과
A Case of Giant Colonic Lipoma Endoscopically Removed Using an Unroofing Technique in Phases
Young Kook Shin, M.D., Eun Young Kim, M.D., Seung Woon Jeon, M.D., Chang Jae Huh, M.D., Byung Seok Kim, M.D., Jae Uk Shin, M.D.†, Jin Tae Jung, M.D., Joong Goo Kwon, M.D. and Chang Ho Cho, M.D.*
Departments of Internal Medicine and *Pathology, Catholic University of Daegu School of Medicine, †Sokbonun Internal Medicine, Daegu, Korea
Abstract
Gastrointestinal lipomas are benign adipose tumors that are usually submucosal, and most commonly found in the colon. However, they have also been discovered in the small bowel, stomach and very rarely in the esophagus. Although most of gastrointestinal lipomas are asymptomatic and are found incidentally at time of endoscopy, surgery or autopsy, large lipomas can cause acute abdominal pain, bowel habit changes, gastrointestinal bleeding, intussusception or bowel obstruction. Lipomas can be diagnosed by colonoscopy, abdominal CT, barium series and endoscopic ultrasonography (EUS). Large lipomas need to be treated using various techniques. However, the best treatment modality for large lipomas has not yet been established. A surgical resection of lipomas should be considered for a giant lipoma ＞2 cm in diameter due to the risk of perforation or hemorrhage. Currently, endoscopic snare polypectomy or endo-loop ligation is used to treat symptomatic lipomas, which may reduce the risk of complications associated with endoscopic treatment. We report a case of giant colonic lipoma that was diagnosed successfully with EUS and treated safely using an endoscopic unroofing technique, endoloop ligation and snare polypectomy in phases. (Korean J Gastrointest Endosc 2008;36:242-247)
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