Non surgical management for massive gastric lipomatosis

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Archivos

Solano, Jaime,Herrera, Gabriel_2020.pdf (1.09 MB)

Fecha

2020

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International Journal of Surgery Case Reports, 2210-2612, Vol. 66, 2020, p. 149-152

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International Journal of Surgery Case Reports

URI

https://hdl.handle.net/20.500.12495/1940

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https://www.sciencedirect.com/science/article/pii/S2210261219306819

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Abstract

BACKGROUND: Gastric lipomatosis (GL) is defined as a lipomatous lesion with diffuse infiltration of thesubmucosal layer by adipose tissue with multiple lesions and must be differentiated from gastroin-testinal lipomas, which are solitary submucosal masses composed of well-differentiated adipose tissuesurrounded by a fibrous capsule. GL are uncommon, represents 5 % of gastrointestinal tract lipomas andless than 1∼3 % of all gastric tumors.CASE PRESENTATION: A 65-year-old woman, who underwent non-operatively approach by Gastric lipo-matosis. Non-specific gastrointestinal symptoms and endoscopic examination ruled out the possibilityof mucosal ulceration or bleeding. Endoscopic ultrasonography and abdominal CT that confirmed gastriclipomatosis.DISCUSSION: Gastric lipomas are usually small, solitary and asymptomatic, and are hence often detectedincidentally, surgical management in asymptomatic patients still be a in debate.CONCLUSION: Non operative management in massive gastic lipomatosis is appropiate when the patient isasymptomatic without mucosal ulceration, regardless of the amount of gastric lipomas. Avoiding patientthe morbidity of a total gastrectomy.

Palabras clave

Keywords

Gastric, Lipomatosis, Lipoma, Gastrectomy and subepitelial

Temáticas

Radiografía abdominal
Endosonografía
Dolor en cáncer

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