Related Experiment Videos
[Colorectal lipomas: anatomoclinical study of 29 cases]
S H Bromberg1, J C Zampieri, L A Cavalcanti
1Serviço de Gastroenterologia Cirúrgica, Hospital do Servidor Público Estadual Francisco Morato de Oliveira, São Paulo.
Revista Da Associacao Medica Brasileira (1992)
|May 22, 1998
Summary
Colorectal lipomas are rare, often found incidentally. Diagnosis evolved from imaging to endoscopy, leading to less invasive treatments like endoscopic polypectomy.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Diagnostic Imaging
Context:
- Colorectal lipomas are uncommon submucosal tumors.
- Historical diagnostic and therapeutic approaches are reviewed.
- Incidence, presentation, and management are analyzed.
Purpose:
- To assess the incidence of colorectal lipomas.
- To evaluate diagnostic methods for colorectal lipomas.
- To determine optimal therapeutic strategies for colorectal lipomas.
Summary:
- A study of necropsies and patient records identified colorectal lipomas in 0.56% of necropsies, predominantly in the right colon of females.
- Symptomatic lipomas, contrary to literature, were often in the left colon (mean size 6.1 cm) presenting with enterorrhagia or pain, and intussusception occurred in 27.3%.
- Diagnosis progressed from opaque enemas to colofibroscopy and CT scans, with treatment shifting from wide resections to endoscopic polypectomy and local resections.
Impact:
- Highlights the rarity and varied presentation of colorectal lipomas.
- Demonstrates the evolution of diagnostic accuracy and treatment efficacy.
- Informs clinical practice towards minimally invasive management for colorectal lipomas.