{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T18:37:39Z","timestamp":1772995059287,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":275,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100014911","name":"Ministerstvo Obrany \u010cesk\u00e9 Republiky","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014911","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute gastrointestinal bleeding from a gastric lipoma is a very rare but severe condition, about 50 cases of which have been reported in the worldwide literature at the time of writing. It largely occurs from a lesion larger than 4\u2009cm localized in the antrum of the stomach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We report the case of a patient with severe comorbidities presenting with melena and, on examination, a large subepithelial lesion in the gastric antrum, with a small ulceration and visible vessel at the summit. After stabilization and endoscopic hemostasis, the lesion was successfully treated by endoscopic submucosal dissection and a diagnosis of a large gastric antral lipoma was confirmed. We have collected similar case reports published worldwide and made a careful review of the literature and ESGE guidelines; we present these here with the aim of helping to find the best modality of treatment for future patients with large gastric lipoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We present, to the best of our knowledge, the first case of acute gastrointestinal bleeding from a gastric lipoma in the Czech Republic, discuss the existing literature on similar cases, and make recommendations for the treatment of this condition in line with the relevant ESGE guidelines.<\/jats:p>\n                  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