论文部分内容阅读
目的探讨内镜下切除胃肠道巨大脂肪瘤(瘤体直径>3．0 cm)的安全性和有效性。方法近10年在我院经内镜下切除15例有症状的胃肠道巨大脂肪瘤患者,5例亚蒂型(基底直径<2．0 cm)中2例经由息肉切除术切除,3例采用多步切除术切除;10例为广基型(基底部直径>2．0 cm),经由次全切除术切除。结果内镜下成功切除15例胃肠道巨大脂肪瘤(经组织病理学确诊),无穿孔和出血等严重并发症,内镜检查随访1～8年无复发。结论胃肠道巨大脂肪瘤可在内镜下由圈套器安全有效地切除。
Objective To investigate the safety and efficacy of endoscopic resection of giant lipoma of the gastrointestinal tract (tumor diameter> 3.0 cm). Methods In the past 10 years, 15 patients with symptomatic giant gioma of the gastrointestinal tract underwent endoscopic resection in our hospital. Two of 5 patients with pediatric giant adipidosis (basal diameter <2.0 cm) were resected by polypectomy. Three patients The resection was performed by multi-step excision. Ten cases were extensive type (base diameter> 2.0 cm) and were resected by subtotal resection. Results Successful resection of 15 cases of gastrointestinal giant lipoma (confirmed by histopathology) under endoscopy showed no serious complications such as perforation and hemorrhage. No recurrence was found after 1 to 8 years of endoscopic follow-up. Conclusion Gastrointestinal giant lipoma can be safely and effectively removed by the snare under endoscopy.