Korean J Gastrointest Endosc > Volume 33(2); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(2): 100-104.
출혈을 동반한 십이지장 지방종의 박리성 올가미를 이용한 내시경적 제거
김건민·정우철·황성수*·이강문·이보인·장우임·양진모·최규용·정인식
가톨릭대학교 의과대학 내과학교실, *방사선과학교실
Endoscopic Removal of Bleeding Duodenal Lipoma Using a Detachable Snare
Gun-Min Kim, M.D., Woo-Chul Chung, M.D., Seong-Su Hwang, M.D.*, Kang-Moon Lee, M.D., Bo-In Lee, M.D., U-Im Chang, M.D., Jin-Mo Yang, M.D., Kyu-Yong Choi, M.D. and In-Sik Chung, M.D.
Departments of Internal Medicine and *Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Duodenal lipomas are relatively uncommon and asymptomatic unless they are large. Tumors greater than 4 cm in diameter can cause obstructive symptoms as a result of intussusception necessitating a surgical resection. However, acute upper gastrointestinal bleeding is an extremely rare complication. Duodenal lipomas are most often submucosal but they can also be subserosal. Their shape can vary, and they can be either sessile or pedunculated. The overlying mucosa is usually normal but it may be ulcerated. Those that cause symptoms require treatment. Endoscopic snare polypectomy has been used to treat clinically symptomatic lipomas. A detachable snare may reduce the risk of complications after a polypectomy, including bleeding and perforation. We report a case of duodenal lipoma accompanied by massive upper GI bleeding that was treated by an endoscopic polypectomy using a detachable snare. (Korean J Gastrointest Endosc 2006;33:100⁣104)
Key Words: Duodenal lipoma, Polypectomy, Detachable snare
주요어: 십이지장 지방종, 용종 절제술, 박리성 올가미
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