Chen Hong-Yu, Ning Shou-Bin, Yin Xin, Li Bai-Rong, Zhang Jing, Jin Xiao-Wei, Sun Tao, Xia Zhi-Bo, Zhang Xiao-Peng
Department of Gastroenterology, Air Force Medical Center, PLA of China, Beijing 100142, China.
World J Clin Cases. 2021 Mar 6;9(7):1631-1638. doi: 10.12998/wjcc.v9.i7.1631.
Most small intestinal lipomas are treated surgically, and some require repeated surgeries for multiple lipomas. However, application of endoscopic submucosal dissection (ESD) technology in the deep small intestine is rarely reported owing to the special anatomical structure of the small intestine, medical equipment limitations, and the lack of relevant experience among endoscopists.
Two patients with small intestinal lipomas treated at the Air Force Medical Center from November 2015 to September 2019 were selected to undergo balloon-assisted ESD to treat the lipomas and explore the technical feasibility and safety of ESD for treating small intestinal lipomas. The two patients successfully underwent balloon-assisted ESD to treat four small intestinal lipomas, with a complete resection rate of 100% (4/4), without intraoperative or postoperative bleeding, perforation, or other complications. After 3-6 mo of postoperative follow-up, the clinical symptoms caused by the lipomas were significantly relieved or disappeared after treatment.
Balloon-assisted ESD is a safe and reliable new method for treating deep intestinal lipomas and shows good clinical feasibility.
大多数小肠脂肪瘤采用手术治疗，部分多发性脂肪瘤患者需要多次手术。然而，由于小肠特殊的解剖结构、医疗设备的限制以及内镜医师缺乏相关经验，内镜黏膜下剥离术（ESD）技术在深部小肠的应用鲜有报道。
选取2015年11月至2019年9月在空军医疗中心接受治疗的2例小肠脂肪瘤患者，采用球囊辅助ESD治疗脂肪瘤，探讨ESD治疗小肠脂肪瘤的技术可行性和安全性。2例患者均成功接受球囊辅助ESD治疗4个小肠脂肪瘤，完整切除率为100%（4/4），术中及术后均无出血、穿孔或其他并发症。术后3 - 6个月随访，脂肪瘤引起的临床症状经治疗后明显缓解或消失。
球囊辅助ESD是治疗深部小肠脂肪瘤的一种安全可靠的新方法，具有良好的临床可行性。
