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Case Reports
. 2023 Jun 8;15(6):e40151.
doi: 10.7759/cureus.40151. eCollection 2023 Jun.

Successful Resection of Gastric Subepithelial Lipoma Using the Bite-on-Bite Approach: Reviving Old Techniques in a Peripheral Hospital

Serbulent Aydin  1 , Mohamed Elgamal  2 , Yucel Aydin  3
Affiliations
Case Reports

Successful Resection of Gastric Subepithelial Lipoma Using the Bite-on-Bite Approach: Reviving Old Techniques in a Peripheral Hospital

Serbulent Aydin et al. Cureus. .

Abstract

Subepithelial lesions (SELs) are common findings in the gastrointestinal (GI) tract. They are often benign and asymptomatic but can cause symptoms in some cases. The approach to endoscopic management of these lesions depends on various factors, including associated symptoms, location, available equipment, and operator expertise. In this case report, we present a 50-year-old male with long-standing dyspepsia who was found to have a submucosal lesion in the stomach. The lesion was successfully treated using the bite-on-bite method with cold biopsy forceps. This report aims to discuss gastric subepithelial lesions and current management options, and highlight an old technique for endoscopists in the era of advanced endoscopy.

Keywords: dyspepsia; endoscopic mucosal resection; endoscopy; lipoma; submucosal lesions.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Normal endoscopic mucosa and SEL
Asterisk (*) indicates SEL.
Figure 2
Figure 2. Asterisk (*) demonstrates yellowish sparkling fat and a capsule of SEL. A Repeat bite-on-bite method was carried out to expose SEL.
Figure 3
Figure 3. Asterisk (*) shows the lipoma that was successfully removed from the gastric wall with cold biopsy forceps.
Figure 4
Figure 4. Post-procedure area is marked with an asterisk (*). Lipoma removal by cold biopsy forceps did not cause any complications including bleeding as shown.
Figure 5
Figure 5. Hematoxylin and eosin staining of the lesion with capsule and mature adipocytes. The overlying gastric mucosa is normal.
Magnification 10X
See this image and copyright information in PMC

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