Khawaja F I
South Med J. 1987 Sep;80(9):1176-9. doi: 10.1097/00007611-198708090-00024.
Endoscopic removal of pedunculated submucosal lipomas of the colon has been considered safe and effective. I have reported a case of large submucosal lipoma of the descending colon, in which serosal invagination resulted in the formation of a "pseudopedicle." Endoscopic polypectomy in such a case would have resulted in colonic perforation. Caution should be exercised in endoscopic removal of large lipomas, even when a pedicle is present.
内镜下切除结肠带蒂黏膜下脂肪瘤被认为是安全有效的。我曾报告过一例降结肠巨大黏膜下脂肪瘤病例，其中浆膜内陷导致形成了一个“假蒂”。在这种情况下进行内镜下息肉切除术会导致结肠穿孔。即使存在蒂，在内镜下切除大型脂肪瘤时也应谨慎行事。
