OMED Video Library

OMED is proud to present its Video Library featuring videos from live endoscopy courses presented by the OMED Centers of Excellence. The videos are available on a cumulative basis for everyone to access without charge for educational purposes.

The videos can be viewed below:

• Dr. Jerome D. Waye removes a large colonic lipoma at the University of Malaya in Kuala Lumpur

A symptomatic lipoma was found in the sigmoid colon of a 65 year old patient. Surgery had been suggested but an attempt was made to remove the lipoma endoscopically. Any attempt to cut across a large lipoma may be dangerous because the fatty tissue dissipates heat very quickly when cutting across the mucosa and this may result in a deep burn which can cause a perforation of the bowel. Here, an attempt was made at denuding the lipoma by capturing a portion of the mucosa and cutting it off. An attempt at squeezing the lipoma was made to extricate it through this mucosal defect, but this was unsuccessful. Further portions of mucosa were then resected until the lipoma itself was exposed sufficiently to be able to cut it off in piecemeal fashion. Cutting across the lipoma itself is relatively quick as opposed to cutting across the mucosa since the heat from the electrocautery snare is conducted away by the fat. The procedure demonstrated in this video has resulted in a marked reduction in the size of the lipoma. Only a small portion was left which will heal and result in curing the symptoms.

This procedure was performed by Dr. Jerome D. Waye at the University of Malaya in Kuala Lumpur.