Non surgical management for massive gastric lipomatosis

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.

• Autores: Solano, Jaime; Herrera, Gabriel; Cadena, Manuel; Cabrera-Castellanos, Luis; Isaac Gomez, Efrain; Pedraza Ciro, Mauricio
• Fecha de publicación: 2020
• Institución: Universidad El Bosque
• Repositorio: Repositorio U. El Bosque
• Idioma: eng
• OAI Identifier: oai:repositorio.unbosque.edu.co:20.500.12495/1940
• Acceso en línea: http://hdl.handle.net/20.500.12495/1940; https://doi.org/10.1016/j.ijscr.2019.11.047
• Palabra clave: Radiografía abdominal; Endosonografía; Dolor en cáncer; Gastric; Lipomatosis; Lipoma; Gastrectomy and subepitelial
• License: Attribution 4.0 International