Acta Med. 2015, 58: 115-118

Unroofing Technique as an Option for the Endoscopic Treatment of Giant Gastrointestinal Lipomas

Marcela Kopáčová, Stanislav Rejchrt, Jan Bureš

2nd Department of Internal Medicine – Gastroenterology, Charles University in Prague, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Czech Republic

Received October 13, 2015
Accepted November 23, 2015

Gastrointestinal lipomas are usually asymptomatic, detected incidentally. However, they can cause severe symptoms such as obstruction, invagination, and bleeding. The transsection of an infarcted or large lipoma by needle sphincterotome (needle knife) and/or snare polypectomy of the upper part of the tumour is an option for the endoscopy treatment of giant infarcted lipomas. Cutting a top of lipoma (unroofing technique) allowed flow out of adipose tissue from the lipoma.


The work was supported by the programme PRVOUK P37/08 from Charles University.


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