Is Gastric Lipoma Removal Risky?

Generally speaking, the risk associated with removing a gastric lipoma is relatively low, especially when modern medical techniques are used. For smaller lipomas, typically around 2-3 cm in diameter, most can be safely removed through endoscopic submucosal dissection (ESD). This minimally invasive approach allows for quicker recovery and fewer complications.

However, if the lipoma is unusually large or the diagnosis is uncertain, a biopsy may be performed first to confirm the nature of the growth. In such cases, a partial gastrectomy using laparoscopic surgery might be recommended. This approach ensures complete removal and reduces the risk of recurrence.

For smaller lesions, endoscopic removal combined with endoscopic repair is often sufficient to achieve effective treatment. Endoscopic techniques are preferred due to their lower risk profile and shorter hospital stays. On the other hand, larger tumors that are difficult to remove via endoscope carry a higher risk of complications such as bleeding or perforation. In these situations, laparoscopic partial gastric resection or endoscopic resection with immediate gastric wall suturing may be the best option.

Overall, the choice of procedure depends on the size, location, and characteristics of the lipoma, as well as the patient's overall health. Consulting with a specialist will help determine the safest and most effective treatment plan.