Elsevier

Gastrointestinal Endoscopy

Volume 36, Issue 5, September 1990, Pages 509-511
Gastrointestinal Endoscopy

Case Reports
Endoscopic correction of intussusception and removal of a colonic lipoma

https://doi.org/10.1016/S0016-5107(90)71128-5Get rights and content

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    Intussusception in adults

    Am J Surg

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There are more references available in the full text version of this article.

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    Small, less than 2 cm, asymptomatic lipomas can be followed clinically because their growth rate is slow and the risk of complications such as bleeding and obstruction is low [31,32]. Although pedunculated lipomas, as large as 6 cm, can be safely removed endoscopically [33], endoscopic resection of lipomas larger than 2.5 cm has a significant risk of perforation [24,34]. Therefore, treatment of symptomatic, large, or multiple lipomas are surgical excision [9].

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  • Adult intussusception in Northern India

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    Colonoscopy, though reported to be useful is technically challenging and has a limited role in the preoperative diagnosis.2,25 Lipomas can be diagnosed and primarily treated by colonoscopy.25 Diagnostic laparoscopy has also been reported to be a feasible tool in adult intussusception.26

  • Intussusception in adults: Institutional review

    2011, International Journal of Surgery
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    The classic features include the “target and doughnut sign” on transverse view and the “pseudokidney sign” in longitudinal view. The major disadvantage of ultrasound is masking by gas-filled loops of bowel, operator dependency and most AIs present with intestinal obstruction.20–24,26 Therefore, the preoperative diagnostic accuracy of ultrasonography (78.5%) is satisfying.

  • Safe endoscopic treatment of large colonic lipomas using endoscopic looping technique

    2008, Digestive and Liver Disease
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    Colonic lipomas are benign, submucosal tumours that are usually asymptomatic and diagnosed incidentally during colonoscopy [1–3]. Lesions larger than 2 cm, however, are likely to cause symptoms such as abdominal pain, change in bowel habits or pain, which may be due to intermittent intussusceptions from prolapse or obstruction [4–7]. Lipomas larger than 4 cm result in bleeding or perforation in up to 75% of cases.

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