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A Journal on Surgery

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Chirurgia 2001 June-August;14(3-4):155-6

language: Italian

Large bowel lipomas

Ivaldi L., Carrozza V., Perino M., Gambetta G., Mura G., Bianco A., Revetria P.


The Authors report a series of cases of lipomas of the large intestine observed over a period of 11 years: four cases whose main features and therapeutical control are here presented. A review of the literature on this subject agrees with the data concerning the prevalence of the female sex, in the 7th-8th decade of life and the rate (0.11% of all the colonoscopies carried out). It differs instead for some features: the localization came out exclusive in the left colon, they are mainly asymptomatic, the first diagnosis was endoscopic). Concerning the therapy, one must consider two criteria of choice: little and asymptomatic lipomas need no treatment, but only to be followed up by control endoscopies. Instead, the large size or symptomatic ones, or those that at an endoscopical control would tend to increase in size, or about whose diagnosis there is no absolute realiability, they have to be removed, if possible endoscopically. But since the high probability of perforation and the often undermucous position, in fair large size lipomas the surgical resection is suggested, if possible by laparoscopic way.

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