Korean J Gastrointest Endosc > Volume 37(2); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(2): 122-126.
거대 대장 지방종의 내시경적 제거
가톨릭대학교 의과대학 내과학교실, *외과학교실
Endoscopic Resection of a Large Colonic Lipoma
Hye Suk Son, M.D., Young Seok Cho, M.D., Jin Soo Kim, M.D., Hyung Keun Kim, M.D., Chang Hyuk Ahn, M.D.*, Sung Soo Kim, M.D., Hiun Suk Chae, M.D. and Kyu Yong Choi, M.D.
Departments of Internal Medicine and *Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Although colonic lipomas constitute the most common nonepithelial neoplasms of the gastrointestinal tract, colonic lipomas are rare benign tumors. Most colonic lipomas are asymptomatic and are incidentally identified at the time of endoscopy or surgery. Lipomas may cause symptoms such as bleeding, obstruction or intussusception when the size of a tumor exceeds 2 cm. Surgical resection is recommended for larger lipomas to relieve symptoms or exclude a malignancy. There are few published reports on the endoscopic removal of colonic lipomas. Endoscopic snare polypectomy has been used to treat clinically symptomatic colonic lipomas. However, removal of lipomas 2 cm or greater in diameter has been associated with a greater risk of perforation. Using a detachable snare or hemoclipping may reduce the risk of complications after a polypectomy. We report a case of a large colonic lipoma that was treated with endoscopic polypectomy using a detachable snare and hemoclipping. (Korean J Gastrointest Endosc 2008;37:122-126)
Key Words: Colonic lipoma, Polypectomy, Detachable snare, Hemoclipping
주요어: 대장 지방종, 내시경적 절제, 박리성 올가미, 헤모클립
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