Gastric lipomas, one of the benign gastric submucosal tumors, rarely require therapeutic intervention. We report two cases of surgically treated gastric lipoma with hemorrhage. Case 1 presented with tarry stool. Emergency endoscopy was performed and hemostatic clips were applied on ulcerative gastric lipoma. Case 2 presented with the complaint of persistent exertional dyspnea. She was anemic and a fat-density mass was detected in the gastric antrum in the abdominal CT scan. An endoscopic examination found ulcerative submucosal tumor as the bleeding source. Both cases are on either antiplatelet or anticoagulant agent. Laparoscopy and endoscopy cooperative surgery (LECS) and partial gastric resection were performed on individual cases. LECS may be useful and less invasive method for symptomatic gastric lipoma in the future.
