출혈을 동반한 위 지방종의 내시경적 점막 절제술을 이용한 내시경적 제거
Endoscopic Removal of Gastric Lipoma with Hemorrhage Using Endoscopic Submucosal Dissection
이정욱, 김수진, 최철웅, 강대환, 김형욱, 박수범, 남형석, 유대곤,
소속 상세정보
이정욱 ( Lee Jung-Wook )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
김수진 ( Kim Su-Jin )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
최철웅 ( Choi Cheol-Woong )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
강대환 ( Kang Dae-Hwan )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
김형욱 ( Kim Hyung-Wook )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
박수범 ( Park Su-Bum )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
남형석 ( Nam Hyeong-Seok )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
유대곤 ( Ryu Dae-Gon )
Pusan National University School of Medicine Pusan National University Yangsan Hospital Department of Internal Medicine Division of Gastroenterology
Abstract
Most upper gastrointestinal lipomas occur in the duodenal second portion, and gastric lipomas are rare. Most lipomas are usually asymptomatic, but symptoms such as abdominal pain, intussusception, ulceration, and intestinal obstruction may occur depending on the size and location and, rarely, can cause bleeding. Endoscopic polypectomy, endoscopic mucosal resection, and surgical resection are the treatments of choice for lipomas with intestinal obstruction or bleeding. Upper gastrointestinal bleeding from lipoma is mostly of duodenal origin and very rarely from the stomach. Here, we report a case of successful treatment of gastric lipoma with massive bleeding by endoscopic resection.
키워드
지방종; 출혈; 내시경적 점막 절제술
Lipoma; Hemorrhage; Endoscopic submucosal dissection
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