Although the safety and effectiveness of endoscopic resection of colonic lipomas has already been described, the ideal excisional technique continues to be debated. Notably, a majority of the proposed techniques focus on small, incidentally found lipomas. We report 3 patients with massive (≥8 cm) colonic lipomas presenting as intussusception that were successfully treated by piecemeal endoscopic mucosal resection. We propose endoscopic mucosal resection as the endoscopic treatment of choice and feasible alternative to surgery for the management of intussuscepting lipomas.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831141 | PMC |
| http://dx.doi.org/10.14309/crj.0000000000000177 | DOI Listing |
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Article Synopsis
- Adult intussusception (AI) is a rare condition in patients over 18 that presents with various symptoms, often requiring surgical treatment, and is primarily diagnosed using CT scans.
- A study of 26 cases revealed that the condition is more common in males with an average age of 53, where the most frequent symptom is abdominal pain; however, bleeding per rectum is notably linked to more severe, malignant causes.
- Understanding the characteristics and predictive factors of AI can help in managing the condition effectively, emphasizing the importance of a multidisciplinary approach in treatment strategies.
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