Giant esophageal lipoma presenting with gastroesophageal reflux symptoms.

Department of Gastroenterology, Ege University, School of Medicine, Izmir, Turkey
Journal of gastrointestinal and liver diseases: JGLD (Impact Factor: 1.85). 03/2013; 22(1):8.
Source: PubMed
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    ABSTRACT: Lipoma of the esophagus is rare. There are few reports of the endoscopic resection of esophageal lipoma. We present a 73-year-old woman with lipoma of the esophagus which was successfully extirpated using the technique of endoscopic mucosal resection. To determine the depth of tumor invasion, endoscopic ultrasonography was used. A total of 31 cases of esophageal lipoma have been reported in Japan. Of these, seven were successfully resected using endoscopic techniques. Lipomas of the esophagus can grow to become large pedunculated tumors which can obstruct the airway. The majority of these tumors occur in the cervical portion of the esophagus. Most patients have no symptoms. These tumors can be resected using minimally invasive surgery when they are small.
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    ABSTRACT: Endoscopic treatment of a pedunculated submucosal tumor (SMT) has not been well established. In particular, endoscopic cautery snare resection of a large pedunculated SMT is discouraged because of the increased risk of bowel perforation. To report the clinical outcome of endoloop ligation for the treatment of various pedunculated SMTs with a clip-marking technique. Prospective evaluation of 10 patients who, between June 2005 and May 2006, received endoloop ligation with a clip-marking technique. At a tertiary-care, academic medical center. Ten patients with various pedunculated SMTs with either symptomatic lesions or large-sized lesions (>4 cm). Clinical procedural success, reported adverse events. Nine cases were successfully treated, with tumor removal within 4 weeks. In contrast, only 1 patient needed a second session of loop ligation. Only 6 specimens were retrieved. There were no procedure-related complications, such as bleeding or perforation. Retrieval by the patient of a specimen from stool was possible in only 60% of cases; a limited number of 10 patients; by oncology standards, not the correct treatment for nonlipomatous lesions, which limits its application to surgical risk candidates. Endoloop ligation of large pedunculated SMTs seemed to be technically feasible and appeared to be safe in this case series. Further controlled clinical trials have to be conducted before application of this technique to a large submucosal lipoma or other SMTs in surgical high-risk candidates can be generally recommended.
    Gastrointestinal Endoscopy 03/2008; 67(3):556-60. · 4.90 Impact Factor


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May 30, 2014