Endoscopic removal with clipping for colonic lipomas

Area of Science:

• Gastroenterology
• Endoscopic Surgery
• Colorectal Surgery

Background:

• Endoscopic resection of large colonic lipomas (≥2 cm) is infrequently performed due to significant risks of hemorrhage and perforation.
• Traditional endoscopic removal methods carry a high complication rate for sizable colonic lipomas.

Observation:

• This study reports on the successful endoscopic removal of three large colonic lipomas using a modified technique.
• The procedure involved a bipolar snare for resection and subsequent mucosal clipping of the defect.

Findings:

• The described technique demonstrated enhanced safety during the endoscopic removal of large colonic lipomas.
• No complications such as hemorrhage or perforation were reported in the three cases.

Implications:

• This approach may offer a safer alternative for managing large colonic lipomas endoscopically.
• Further studies are warranted to validate the safety and efficacy of this bipolar snare and clipping technique for large lipoma resection.