Acta Med. 2015, 58: 115-118
https://doi.org/10.14712/18059694.2016.1
Unroofing Technique as an Option for the Endoscopic Treatment of Giant Gastrointestinal Lipomas
References
1. Bures J, Rejchrt S, et al. Small Bowel Investigation & Atlas of Enteroscopy. Praha: Grada Publishing, 2001.
2. EB, Stearns MW. Lipoma of the large intestine: a review of 45 cases. Dis Colon Rectum 1972; 15: 441–4.
<https://doi.org/10.1007/BF02642650>
3. T, Mourad FH, Uthman S. Sigmoid lipoma mimicking carcinoma: case report with review of diagnosis and management. Gastrointest Endosc 2000; 51: 495–6.
<https://doi.org/10.1016/S0016-5107(00)70458-5>
4. ID, Torreggiani WC, Thomson WH, Shepherd NA, Wallace D, Birch P. Giant lipoma of the descending colon. Hosp Med 2002; 63: 500–1.
<https://doi.org/10.12968/hosp.2002.63.8.1973>
5. PD, Michas CA. Endoscopic removal of submucosal colonic lipomas. Arch Surg 1976; 111: 89.
<https://doi.org/10.1001/archsurg.1976.01360190091021>
6. S, Nomura H, Takaki Y, et al. Hemorrhagic duodenal lipoma managed by endoscopic resection. J Gastroenterol Hepatol 2006; 21(2): 479–81.
<https://doi.org/10.1111/j.1440-1746.2006.03178.x>
7. W, Dunn GD. Colonic lipomas: clinical significance and management. South Med J 1985; 78: 877–9.
<https://doi.org/10.1097/00007611-198507000-00028>
8. SA, Weaver MG, Abdul-Karim FW, Yang P. Colonic lipomas: outcome of endoscopic removal. Gastrointest Endosc 1990; 36: 435–8.
<https://doi.org/10.1016/S0016-5107(90)71110-8>
9. C, Saşmaz N, Alkim H, Cağlikülekçi M, Turhan N. Sonographic findings in intussusception caused by a lipoma in the muscular layer of the colon. J Clin Ultrasound 2001; 29(5): 298–301.
<https://doi.org/10.1002/jcu.1038>
10. A, Kok KY, Goh PM, Ngoi SS. Intermittent subacute intestinal obstruction due to a giant lipoma of the colon: a case report. Am Surg 1996; 62: 918–21.
11. AM, Robbins PL, Longo WE. Giant submucocal sigmoid colon lipoma. Am J Surg 2003; 186: 81–2.
<https://doi.org/10.1016/S0002-9610(03)00111-9>
12. PC, Buck JL, Carr NJ, Pantongrag-Brown L, Ros PR, Cruess DF. Intussuscepted colonic lipomas: loss of fat attenuation on CT with pathologic correlation in 10 cases. Abdom Imaging 1996; 21(2): 153–6.
<https://doi.org/10.1007/s002619900033>
13. YF, Ho YH, Nyam DC, Leong AF, Seow-Choen F. Management of colonic lipomas. Aust N Z J Surg 1998; 68: 133–5.
<https://doi.org/10.1111/j.1445-2197.1998.tb04723.x>
14. DM. Bowel obstruction due to a large ileal lipoma. Gastrointest Endosc 2001; 53: 342.
<https://doi.org/10.1016/S0016-5107(01)70413-0>
15. JM, Begin LR, Vasilevsky CA, Gordon PH. The dramatic presentation of colonic lipomata: report of two cases and review of the literature. Am Surg 2001; 67: 491–4.
16. JC, Roberts JW. Massive bleeding from colonic lipoma. Arch Surg 1980; 115: 889–90.
<https://doi.org/10.1001/archsurg.1980.01380070075019>
17. G, Tragiannidis D, Xirou P, Nakos A, Pilpilidis I, Katsos I. Endoscopic resection of giant lipoma mimicking colonic neoplasm initially presenting with massive haemorrhage: a case report. Cases J 2009; 2: 6462.
<https://doi.org/10.1186/1757-1626-2-6462>
<PubMed>
18. ES, Lee KN, Choi KS, et al. Endoscopic treatment of a symptomatic ileal lipoma with recurrent ileocolic intussusceptions by using cap-assisted colonoscopy. Clin Endosc 2013; 46(4): 414–17.
<https://doi.org/10.5946/ce.2013.46.4.414>
<PubMed>
19. N, Hefaiedh R, Khalfallah MT. Giant lipoma of the transverse colon causing colo-colonic intussusceptions. J Visc Surg 2012; 149(6): 421–2.
<https://doi.org/10.1016/j.jviscsurg.2012.04.006>
20. MA, Mirza D, Berlakovich G, Winkelbauer F, Rauhs R. Submucous large-bowel lipomas: presentation and management. An 18-year study. Eur J Surg 1991; 157(1): 51–5.
21. BA, Wolff BG. Colonic lipomas. Report of two unusual cases and review of the Mayo Clinic experience, 1976–1985. Dis Colon Rectum 1987; 30: 888–893.
<https://doi.org/10.1007/BF02555431>
22. A, Chatzitheoklitos E, Hatzis I, Alatsakis M, Katsourakis A. Giant transmural lipoma of the sigmoid colon. Hippokratia 2012; 16(3): 278–9.
23. JP, Luo HS, Wang XZ. Endoscopic treatment of submucosal lesions of the gastrointestinal tract. Endoscopy 1992; 24: 190–3.
<https://doi.org/10.1055/s-2007-1010460>
24. J, Rejchrt S, Kopacova M. Transsection by means of needle sphincterotome followed by the unroofing technique for endoscopic therapy of a large colonic lipoma. Folia Gastroenterol Hepatol 2003; 1(1): 54–7.
25. H, Cong JC, Chen CS, Qiao L, Liu EQ. Submucous colon lipoma: a case report and review of the literature. World J Gastroenterol 2005; 11(20): 3167–9.
<https://doi.org/10.3748/wjg.v11.i20.3167>
<PubMed>
26. Y, Isomoto H, Tsuji Y, et al. Endoscopic removal with clipping for colonic lipomas. Kurume Med J 1998; 45(4): 341–3.
<https://doi.org/10.2739/kurumemedj.45.341>
27. TS, Baker AR, Talbot IC, Veitch PS. Symptomatic submucosal lipoma of the large bowel. Br J Surg 1987; 74: 984–6.
<https://doi.org/10.1002/bjs.1800741108>
28. CY, Bandres D, Tio TL, Benjamin SB, Al-Kawas FH. Endoscopic removal of large colonic lipomas. Gastrointest Endosc 2002; 55(7): 929–31.
<https://doi.org/10.1067/mge.2002.124098>
29. K, Kitagawa S, Mori M, Haraguchi Y. Endoscopic correction of intussusception and removal of a colonic lipoma. Gastrointest Endosc 1990; 36: 509–11.
<https://doi.org/10.1016/S0016-5107(90)71128-5>
30. C, Weber HC. Endoscopic removal of colonic lipomas. Am J Gastroenterol 2001; 96: 1295–7.
<https://doi.org/10.1111/j.1572-0241.2001.03718.x>
31. KJ, Kim GH, Park do Y, et al. Endoscopic resection of gastrointestinal lipomas: a single-center experience. Surg Endosc 2014; 28(1): 185–92.
<https://doi.org/10.1007/s00464-013-3151-9>
32. M, Fukata N, Okazaki K. Endoscopic removal of large gastric lipomas: en bloc resection with submucosal dissection or partial resection with unroofing technique? Dig Endosc 2013; 25(2): 211–12.
<https://doi.org/10.1111/den.12011>
33. T, Fu KI, Konuma H, et al. Peeling a giant ileal lipoma with endoscopic unroofing and submucosal dissection. World J Gastroenterol 2010; 16(13): 1676–9.
<https://doi.org/10.3748/wjg.v16.i13.1676>
<PubMed>
34. HN, Bertin P, Singh K, Arregui M. Safe techniques for endoscopic resection of gastrointestinal lipomas. Surg Laparosc Endosc Percutan Tech 2011; 21(4): 218–222.
<https://doi.org/10.1097/SLE.0b013e31821ea189>
35. T, Milkes D, Friedland S, Soetikno R. Safe endoscopic treatment of large colonic lipomas using endoscopic looping technique. Dig Liver Dis 2008; 40(12): 958–61.
<https://doi.org/10.1016/j.dld.2008.03.010>
36. P, Chatzimavroudis G, Zavos C, Paroutoglou G, Papaziogas B, Kountouras J. A novel technique for the treatment of a symptomatic giant colonic lipoma. J Laparoendosc Adv Surg Tech A 2007; 17(4): 467–9.
<https://doi.org/10.1089/lap.2006.0208>
37. IL, Tung SY, Lee KF, Chiu CT, Wu CS. Endoscopic resection of a large colonic leiomyoma. Chang Gung Med J 2002; 25(1): 39–44.
38. AK, Hosseini SM, Gaffarzadegan K, Farzanehfar MR, Zivarifar HR. Endoscopic resection of large colonic lipomas assisted by a prototype single-use endoloop device. J Res Med Sci 2011; 16(11): 1511–15.
39. MA, Kwan V, Williams ST, Bourke MJ. Detachable nylon loop assisted removal of large clinically significant colonic lipomas. Gastrointest Endosc 2005; 61: 756–9.
<https://doi.org/10.1016/S0016-5107(04)02650-1>
40. J, Kaffes A. Endoscopic resection of large colonic lipomas assisted by a prototype single-use Endoloop device. Endoscopy 2006; 38(6): 644–7.
<https://doi.org/10.1055/s-2006-925355>
41. K, Kojima H, Fujimaru T, et al. Grasping-forceps-assisted endoscopic resection of large pedunculated GI polypoid lesions. Gastrointest Endosc 1999; 50: 95–8.
<https://doi.org/10.1016/S0016-5107(99)70354-8>
42. GS, Gomez G. Endoloop ligation of a large colonic lipoma: a novel technique. Gastrointest Endosc 2005; 62: 988–90.
<https://doi.org/10.1016/j.gie.2005.08.018>
43. M, Takakuwa H, Matsubayashi Y, Kido M, Shimeno N, Okazaki K. Handcrafted two-channel colonoscope for grasping-forceps-assisted resection of giant pedunculated polyps. Gastrointest Endosc 2005; 62: 132–6.
<https://doi.org/10.1016/S0016-5107(05)00365-2>
44. M, Danbara N, Shimatani M, et al. Handcrafted two-channel colonoscope for removing large lipomas. Endoscopy 2006; 38: 644–7.
<https://doi.org/10.1055/s-2006-944791>
45. S, Halla A, Baratz M: Endoscopic removal of colonic lipoma. Endoscopy 1981; 13: 135–6.
<https://doi.org/10.1055/s-2007-1021668>
46. E, Guastella T. Giant submucosal lipoma cause colo-colonic intussusception. A case report and review of literature. Ann Ital Chir 2012; 83(6): 559–62.
47. F. Pedunculated lipoma of the colon: risks of endoscopic removal. South Med J 1987; 80: 1176–9.
<https://doi.org/10.1097/00007611-198708090-00024>
48. T, Sawai T, Tsuji T, et al. Minilaparotomy approach for removal of a large colonic lipoma: report of two cases. Surg Today 2004; 34(1): 72–5.
<https://doi.org/10.1007/s00595-003-2646-8>
49. Y, Endo M, Orikasa S, Sugai T, Matsumoto T. Lipoma of the small intestine treated with endoscopic resection. Clin J Gastroenterol 2014; 7(6): 502–5.
<https://doi.org/10.1007/s12328-014-0538-7>
50. HK, Cho SB, Seo TJ, et al. Autoamputation of a giant colonic lipoma. Gut Liver 2011; 5(3): 380–2.
<https://doi.org/10.5009/gnl.2011.5.3.380>
<PubMed>
51. JM. Lipoma of the colon: self amputation. Am J Gastroenterol 1993; 88: 1981–2.
52. SM, Tawil AN, Sidani MS. Extraction of a large self-amputated colonic lipoma: A case report. Int J Surg 2008; 6(5): 409–11.
<https://doi.org/10.1016/j.ijsu.2006.05.003>
53. S, Kahng LS, Torosis J, Soetkino RM. Ligate and let go. Gastrointest Endosc 2003, 58(3): 473–4.
<https://doi.org/10.1067/S0016-5107(03)00039-7>
54. H, Rustemovic N, Brkic T, Ostojic R, Monkemuller K. Endoscopic ligation (“Loop-And-Let-Go”) is effective treatment for large colonic lipomas: a prospective validation study. BMC Gastroenterol 2014; 14: 122.
<https://doi.org/10.1186/1471-230X-14-122>
<PubMed>
55. G, Pisello F, Arnone E, Sciuto A, Modica G, Sciumè C. Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature. Case Rep Gastroenterol 2010; 4(1): 6–11.
<https://doi.org/10.1159/000260053>
<PubMed>
56. T, Kuramoto S, Hashimoto M, et al. Unroofing for lymphangioma of the large intestine: a new approach to endoscopic treatment. Gastrointest Endosc 1997; 46: 259–63.
<https://doi.org/10.1016/S0016-5107(97)70097-X>
57. K, Kawasaki M, Kouzuki T, Aoyagi K, Fujishima M. Unroofing technique for the endoscopic resection of a large duodenal lipoma. Gastrointest Endosc 1999; 49(3 Pt 1): 391–2.
<https://doi.org/10.1016/S0016-5107(99)70021-0>
58. GW, Kwon CI, Song SH, et al. Endoscopic resection of giant colonic lipoma: case series with partial resection. Clin Endosc 2013; 46(5): 586–90.
<https://doi.org/10.5946/ce.2013.46.5.586>
<PubMed>
59. JB, Gonçalves R, Rolanda C. Endoscopic resection of a large colonic lipoma by unroofing technique. Endoscopy 2011; 43(Suppl 2) UCTN: E407.
<https://doi.org/10.1055/s-0030-1256938>
60. K, Sato K, Maekawa H, et al. Unroofing technique for endoscopic resection of a large colonic lipoma. Case Rep Gastroenterol 2012; 6(2): 557–62.
<https://doi.org/10.1159/000342350>
<PubMed>
61. KF, Shah JN, Bhat YM, Kane SD. Suck-ligate-unroof-biopsy by using a detachable 20-mm loop for the diagnosis and therapy of small subepithelial tumors (with video). Gastrointest Endosc 2014; 79(5): 750–5.
<https://doi.org/10.1016/j.gie.2013.09.028>
62. CK, Chung IK, Lee SH, et al. Endoscopic partial resection with the unroofing technique for reliable tissue diagnosis of upper GI subepithelial tumors originating from the muscularis propria on EUS (with video). Gastrointest Endosc 2010; 71(1): 188–94.
<https://doi.org/10.1016/j.gie.2009.07.029>
63. P, Bing-Yin Z, Tao W, Li-Jun T, Fu-Zhou T. Unroofing and grasp-and-snare techniques in the management of a large, duodenal lipoma by duodenoscope combined with a double-channel endoscope. Gastrointest Endosc 2014; 79(1): 27.
<https://doi.org/10.1016/j.gie.2013.08.007>
64. W, Dollhopf M, Rösch T, et al. The Munich polypectomy study (MUPS): prospective analysis of complications and risk factors in 4000 colonic snare polypectomies. Endoscopy 2005; 37: 1116–22.
<https://doi.org/10.1055/s-2005-870512>
65. G, Pisello F, Arnone E, Sciuto A, Modica G, Sciumè C. Endoscopic Resection of a Large Colonic Lipoma: Case Report and Review of Literature. Case Rep Gastroenterol. 2010; 4(1): 6–11.
<https://doi.org/10.1159/000260053>
<PubMed>
