KMID : 0614620160680040210
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Korean Journal of Gastroenterology 2016 Volume.68 No. 4 p.210 ~ p.213
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Endoscopic Resection of a Giant Esophageal Lipoma Causing Sudden Choking
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Jo Dong-Ho
Chon Hyung-Ku Woo Sun-Ho Kim Tae-Hyeon
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Abstract
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Most esophageal lipomas are discovered incidentally and are small and asymptomatic. However, large (£¾4 cm) lipomas may cause various symptoms, including dysphagia, regurgitation, or epigastric discomfort. We present a 45-year-old woman with intermittent sudden choking and globus pharyngeus. Upper gastrointestinal endoscopy and endoscopic ultrasound revealed an approximately 10.0¡¿1.5 cm pedunculated subepithelial tumor in the upper esophagus, identified as the cause of her symptoms. A thoracic computed tomography scan revealed a fat attenuated longitudinal mass along the upper esophagus, suggestive of a lipoma. Endoscopic resection of the lesion was performed with a detachable snare to relieve her symptoms, and the pathologic findings were consistent with a lipoma.
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KEYWORD
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Esophagus, Lipoma, Endoscopy
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