Balloon-assisted endoscopic submucosal dissection for treating small intestinal lipomas: Report of two cases

Table 1 Cases of lipoma of the small intestine with bleeding reported in the literature (2004–2013)

Ref.	Age	Sex	Location	Tumor size	Treatment
Baskaran et al[18]	55	M	Ileum	N/A	Surgical resection
Baskaran et al[18]	34	M	Ileum	N/A	Surgical resection
Pezzoli et al[19]	64	M	Jejunum	N/A	Surgical resection
Pezzoli et al[19]	44	M	Ileum	N/A	Surgical resection
Chou et al[20]	57	M	Ileum	3 cm × 1.5 cm × 1.5 cm	Surgical resection
Morimoto et al[3]	62	M	Ileum	> 3 cm	ESD with colonoscopy
Toya et al[21]	79	M	Jejunum	3.5 cm × 1.7 cm	EMR with DBE

EMR: Endoscopic mucosal resection; ESD: Endoscopic submucosal dissection; DBE: Double-balloon endoscopy.

Table 2 Summary of patient treatments

Patient	Date of treatment	Site of lipoma	Size of lipoma (cm)	Treatm ent method	Clinical symptoms after treatment	Complications	Follow-up
No. 1	November 2015	Ileum 10 cm from the ileocecal valve	3.0 cm × 2.0 cm × 2.0 cm	ESD	Abdominal pain disappeared	None	No recurrence or long-term complications
No. 2	August 2017	Jejunum 180 cm from the pylorus	5.2 cm × 4.5 cm × 3.1 cm	Surgery	Repeated abdominal distention and abdominal pain
	November 2018	Jejunum 80 cm from the pylorus	4.8 cm × 2.7 cm × 0.7 cm	ESD	Symptoms significantly relieved
	December 2018	Jejunum 140 cm from the pylorus	2.4 cm × 1.7 cm × 1.7 cm	ESD	Symptoms basically relieved
	September 2019	Jejunum 320 cm from the pylorus	2.0 cm × 2.0 cm × 1.0 cm	ESD	Symptoms disappeared

ESD: Endoscopic submucosal dissection.