NON SURGICAL MANAGEMENT FOR MASSIVE GASTRIC LIPOMATOSIS

Abstract Background Gastric lipomatosis (GL) is defined as a lipomatous lesion with diffuse infiltration of the submucosal layer by adipose tissue with multiple lesions and must be differentiated from gastrointestinal lipomas, which are solitary submucosal masses composed of well-differentiated adipose tissue surrounded by a fibrous capsule. GL are uncommon, represents 5% of gastrointestinal tract lipomas and less than 1∼3% of all gastric tumors. Case presentation A 65-year-old woman, who underwent non-operatively approach by Gastric lipomatosis. non-specific gastrointestinal symptoms and endoscopic examination ruled out the possibility of mucosal ulceration or bleeding. Endoscopic ultrasonography and abdominal CT that confirmed gastric lipomatosis. Discussion Gastric lipomas are usually small, solitary and asymptomatic, and are hence often detected incidentally, surgical management in asymptomatic patients still be a in debate. Conclusion Non operative management is appropriate when gastric lipomatosis is asymptomatic without mucosal ulceration and in asymptomatic patient, regardless of the amount of gastric lipomas. Avoiding patient the morbidity of a total gastrectomy.