Treatment Plan of the Colon Lipomatosis from the Examination

Yoshihisa Shibata, Takehito Kato, Masaomi Suzuki, Shigeru Onoue, Keiiti Nagasawa and Motoi Yoshihara

Department of Surgery and Proctology, Toyohashi Municipal Hospital

Colon lipomatosis is comparatively rare, but the number of reports on its occurrence has increased thanks to the dissemination of endoscopic examination and autoscopic abscission. While treatment plans of colon lipomatosis are important for a large tumor which surgical resection should be experienced. Materials and Methods: We treated 34 case of colon lipomatosis in 12 men and 22 women (mean age; 63.1 year old) from 1996 to 2003. We review clinical observations and autoscopic findings in treatment following colon lipomatosis. Results: Medical checkups revealed 25 cases and indicated 9 abdominal symptoms. Site involved the right colon is 19, the transverse colon is 5, and the left colon is 10. Autoscopic findings indicated xanthochromia in 21, positive cushion sign in 15, and both findings in 12. Wide cauline-related polyps occurred in 15 examples and polyps with a stalk in 13. Preoperative adipose tumor was diagnosed in 23 (67.6%). Surgery was reqired in 3, while 2 developed course mesenteron invaginatio. One case involved emergency abdominal surgery and 2 laparoscopic-assist surgery. Colon lipomatosis appears to be on the rise. We treated 34 cases (67.6%) and involved preoperative diagnosis possible. Endscopic resection is possible in many cases, but large tumors require major surgery. We used laparoscopic-assistance enterectomy in 2 cases, with good results. Conclusion: Onset should determine treatment, since colon lipomatosis is benign.

Key words
colon, lipoma, examination, laparoscopic surgery

Reprint requests
Yoshihisa Shibata Department of Surgery and Proctology, Toyohashi Municipal Hospital
50 Hakken-nishi, Aotake-cho, Toyohashi, 441-8570 JAPAN

Accepted
February 22, 2006

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