Juvenile polyposis complicated with protein losing gastropathy.
A male patient with chronic bloody stool was diagnosed as juvenile polyposis at the age of 28. He had thirty to forty colonic polyps and some were removed endoscopically, while gastric polyps were too numerous to intervene. As the polyposis advanced gradually, the patient developed intractable anemia and serious hypoproteinemia. Albumin scintigram revealed protein losing gastropathy due to progressive gastric polyposis. Total gastrectomy was carried out at the age of 34 and the patient has achieved remarkable and sustainable improvement.
Yamashita
Kentaro
K
The First Department of Internal Medicine, Sapporo Medical University. ykentaro@sapmed.ac.jp
Saito
Mayuko
M
Itoh
Miki
M
Yamamoto
Eiichiro
E
Yamaoka
Satoshi
S
Goto
Akira
A
Arimura
Yoshiaki
Y
Shinomura
Yasuhisa
Y
Yamaguchi
Koji
K
Endo
Takao
T
D000328:Adult; D018450:Disease Progression; D005743:Gastrectomy; D006801:Humans; D044483:Intestinal Polyposis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D011127:Polyps / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D011504:Protein-Losing Enteropathies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013272:Stomach Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery