Colonic lipomas. Three surgical techniques for three different clinical cases

Pezzolla, A. and Lattaruolo, S. and Caputi, O. and Ugenti, I. and Fabiano, G. and Piscitelli, D. (2012) Colonic lipomas. Three surgical techniques for three different clinical cases. Il giornale di chirurgia, 33 (11/12). pp. 420-422. ISSN 1971-145X

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Abstract

Colonic lipomas larger than 2 cm in diameter are likely to be symptomatic. In some cases a complication is the first clinical sign. Massive lower intestinal bleeding or obstruction, acute bleeding, prolapse or perforation or, rarely, acute intussusception with intestinal obstruction require urgent surgery. Diagnosis is often made following colonoscopy, which can also have a therapeutic role. Imaging procedures such as CT has a secondary role. Patients with small asymptomatic colonic lipomas need regular follow up. For larger (diameter > 2 cm) and/or symptomatic lipomas, resection should be considered, although the choice between endoscopic or surgical resection remains controversial. We believe that even lipomas > 2 cm can safely be removed by endoscopic resection. If surgery is indicated, we consider laparoscopy to be the ideal approach in all patients for whom minimally invasive surgery is not contraindicated.

Item Type:	Article
Uncontrolled Keywords:	Colonic lipoma, Laparoscopy, Endoscopy, Minilaparotomy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	03 Aug 2016 16:13
Last Modified:	03 Aug 2016 16:13
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8263

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