Endoscopic Resection Of Colonic Lipomas: A Single Tertiary Centre Experience

Aims Endoscopic resection of colonic lipomas is warranted if lesions are large (> 2 cms) and symptomatic. We aimed to report the patient characteristics, technical outcomes and clinical improvement in patients who underwent endoscopic resection of colonic lipomas at our tertiary institution.

Methods A retrospective review of a prospective database of consecutive patients who underwent endoscopic resection of colonic lipomas between December 2013 and November 2019 was conducted. All resections were performed by a single experienced endoscopist.

Results 28 patients (15 females) with a mean age of 63.5 years old (range 41 – 81 years) were identified. The indications for resection were diarrhoea (n = 10), constipation (n = 6), alternating bowel habit (n = 10) and PR Bleeding (n = 2). The mean size of the lipoma was 3.3 cm (range 1.5 – 6.5cm). The locations of the lipoma were caecum/ileocaecal valve (n = 9), right colon (n = 8), and left colon (n = 11). The method of resection was by strangulation of the lipomatous lesion for 5-10 mins with a dedicated endoscopic ligation device (PolyLoop).This was followed by needle knife mucosal incision in select cases to help the fat extrude out. Follow-up endoscopy was performed in 13 of 28 patients which demonstrated complete resection of the lipoma and scarring in 7 patients.The 30-day adverse event rate was 3.5 % (1 patient with ileo caecal valve lipoma developed sub acute bowel obstruction requiring laparotomy). 1 year follow-up clinical data regarding symptom profile was available for 27 patients and 70 % of patients (n = 19) had improvement of symptoms post resection.

Conclusions In our cohort of patients, majority of symptomatic colonic lipomas were managed endoscopically irregardless of the size and location of the lesion. Symptom improvement occurred in the majority of patients. Careful patient selection to identify appropriate patients for endoscopic resection is paramount.

Citation Chong L, Hebbar S. eP310 ENDOSCOPIC RESECTION OF COLONIC LIPOMAS: A SINGLE TERTIARY CENTRE EXPERIENCE. Endoscopy 2021; 53: S200.

Publication History

Article published online:
19 March 2021