Kopáčová Marcela, Rejchrt Stanislav, Bureš Jan
2nd Department of Internal Medicine - Gastroenterology, Charles University in Prague, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Czech Republic.
Acta Medica (Hradec Kralove). 2015;58(4):115-8. doi: 10.14712/18059694.2016.1.
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.
胃肠道脂肪瘤通常无症状，多为偶然发现。然而，它们可能引起严重症状，如梗阻、套叠和出血。对于巨大梗死性脂肪瘤的内镜治疗，可选择用针状括约肌切开刀（针刀）横断梗死或较大的脂肪瘤和/或对肿瘤上部进行圈套息肉切除术。切除脂肪瘤顶部（掀盖技术）可使脂肪瘤内的脂肪组织流出。
