A large pedunculated lipoma endoscopically resected with the assistance of a detachable nylon endoloop.

In the gastrointestinal tract, lipomas are found predominately in the colon.1 These benign, nonepithelial tumors are mostly asymptomatic and incidentally found during colonoscopy.2 Excision is generally reserved for symptomatic lipomas or when there is a suspicion of malignancy. Excising lipomas endoscopically versus surgically remains a subject of controversy. Typically, lipomas greater than 2 cm in size are removed surgically, as they are associated with a greater risk of perforation3,4; however, over the past few years, new endoscopic techniques have been found to be safe in the removal of large colonic lipomas.5–8 This case study is the third to support the safety of endoscopic removal of large pedunculated colonic lipomas with the assistance of a detachable nylon endoloop.