套扎并放手：经单纯剥除术治疗失败后的巨大结肠脂肪瘤的治疗方法
Loop-and-Let-Go: Treatment of a Large Colonic Lipoma After Unsuccessful Unroofing.
作者信息
Huang Cherry, Steinhauser Christina, Bush Allison, Laczek Jeffrey
机构信息
Department of Medicine, Division of Internal Medicine, Walter Reed National Military Medical Center, Bethesda, MD.
Department of Medicine, Division of Gastroenterology/Hepatology, Walter Reed National Military Medical Center, Bethesda, MD.
出版信息
ACG Case Rep J. 2022 Aug 31;9(8):e00848. doi: 10.14309/crj.0000000000000848. eCollection 2022 Aug.
Gastrointestinal lipomas are benign subepithelial tumors arising from adipose tissue. Most colonic lipomas are clinically silent and do not require intervention. However, if the lipomas are large or symptomatic, removal can be considered. Of the endoscopic techniques available, endoscopic ligation, also known as "loop-and-let-go," provides a safe and easy alternative to other endoscopic therapies and does not require any specialized equipment or advanced training. We describe a case of a patient found to have large colonic lipoma that recurred after endoscopic unroofing but was successfully treated with "loop-and-let-go."
胃肠道脂肪瘤是起源于脂肪组织的良性上皮下肿瘤。大多数结肠脂肪瘤临床上无症状，无需干预。然而，如果脂肪瘤较大或有症状，则可考虑切除。在现有的内镜技术中，内镜结扎术，也称为“套扎并松开”，是一种安全简便的替代其他内镜治疗的方法，不需要任何专门设备或高级培训。我们描述了一例患者，该患者经内镜去顶术后复发的大结肠脂肪瘤，经“套扎并松开”治疗成功。
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