经内镜黏膜下剥离术切除的出血性胃脂肪瘤

Mir Adil S, Kesar Varun, Sageer Mohamed, Grider Douglas, Chitnavis Vikas

Internal Medicine, Carilion Clinic, Roanoke, USA.

Gastroenterology, Virginia Tech Carilion School of Medicine, Roanoke, USA.

Cureus. 2020 Jun 29;12(6):e8909. doi: 10.7759/cureus.8909.

Gastric lipomas are slow-growing benign lesions of the stomach that are often detected incidentally. Most cases are asymptomatic but larger lesions may become symptomatic, thereby requiring treatment. Multiple endoscopic modalities have been used for resection in the past. We present the case of a 67-year-old patient who presented with upper GI bleeding secondary to a gastric lipoma, which was successfully resected by endoscopic submucosal dissection.

胃脂肪瘤是一种生长缓慢的胃部良性病变，通常为偶然发现。大多数病例无症状，但较大的病变可能出现症状，从而需要治疗。过去已使用多种内镜治疗方式进行切除。我们报告一例67岁患者，其因胃脂肪瘤继发上消化道出血就诊，通过内镜黏膜下剥离术成功切除。