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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Mayo CW, Pagtaluman RJG, Brown DJ. Lipoma of the alimentary tract. Surgery. 1963;53:598–603.
Baskaran V, Patnaik PK, Seth AK, et al. Intestinal lipoma: a rare cause of lower gastrointestinal hemorrhage. Trop Gastroenterol. 2003;24:208–10.
Pezzoli A, Pennazio M, Fusetti N, et al. Occult intestinal hemorrhage due to lipoma of the small bowel detected with the combined use of the new endoscopic techniques. A report of two cases. Dig Liver Dis. 2008;40:306–9.
Chou JW, Feng CL, Lai HC, et al. Obscure gastrointestinal bleeding caused by small bowel lipoma. Intern Med. 2008;47:1601–3.
Morimoto T, Fu KI, Konuma H, et al. Peeling a giant ileal lipoma with endoscopic unroofing and submucosal dissection. World J Gastroenterol. 2010;16:1676–9.
Endo M, Inomata M, Terui T, et al. New endoscopic technique to close large mucosal defects after endoscopic mucosal resection in patients with gastric mucosal tumors. Dig Endosc. 2004;16:372–5.
Wilson JM, Melvin DB, Gray G, Thorbjarnarson B. Benign small bowel tumor. Ann Surg. 1975;181(2):247–50.
Omiya N, Yano T, Yamamoto H, et al. Diagnosis and treatment of obscure GI bleeding at double balloon endoscopy. Gastrointest Endosc. 2007;66:S72–7.
Guo J, Liu Z, Sun S, et al. Endosonography-assisted diagnosis and therapy of gastrointestinal submucosal tumors. Endosc Ultrasound. 2013;2:125–33.
Alberti D, Grazioli L, Orizio P, et al. Asymptomatic giant gastric lipoma: what to do? Am J Gastroenterol. 1999;94:3634–7.
Raju GS, Gomez G. Endoloop ligation of large colonic lipoma: a novel technique. Gastrointest Endosc. 2005;62:988–90.
Huang WH, Peng CY, Yu CJ, et al. Endoloop-assisted unroofing for the treatment of symptomatic duodenal lipomas. Gastrointest Endosc. 2009;68:1234–6.
Disclosures
Conflict of Interest:
Yosuke Toya, Masaki Endo, Shunsuke Orikasa, Tamotsu Sugai and Takayuki Matsumoto declare that they have no conflict of interest.
Human/Animal Rights:
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).
Informed Consent:
Informed consent was obtained from all patients for inclusion in all study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Toya, Y., Endo, M., Orikasa, S. et al. Lipoma of the small intestine treated with endoscopic resection. Clin J Gastroenterol 7, 502–505 (2014). https://doi.org/10.1007/s12328-014-0538-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12328-014-0538-7