title: Successful management of cap polyposis with eradication of Helicobacter pylori relapsing 15 years after remission on steroid therapy.
abstract: A 37-year-old woman was evaluated at our hospital for a treatment-resistant proctosigmoiditis. Fifteen years previously, ulcerative colitis was suspected and she was cured by steroid therapy. Colonoscopy revealed multiple sessile polyps covered with white exudate from the rectum to the sigmoid colon. Histopathological examination revealed a mucosal surface cover of granulation tissue. Based on these findings, cap polyposis was diagnosed. She underwent Helicobacter pylori eradication therapy, and at 1 month after therapy, her symptoms had improved. We present a case of cap polyposis relapsing 15 years after remission with steroid therapy, and that was improved by H. pylori eradication therapy.
authors.affiliation: Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Japan. ftake@net.nagasaki-u.ac.jp
authors.forename: Fuminao
authors.initials: F
authors.lastname: Takeshima
authors.forename: Takemasa
authors.initials: T
authors.lastname: Senoo
authors.forename: Kayoko
authors.initials: K
authors.lastname: Matsushima
authors.forename: Yuko
authors.initials: Y
authors.lastname: Akazawa
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Yamaguchi
authors.forename: Ken
authors.initials: K
authors.lastname: Shiozawa
authors.forename: Ken
authors.initials: K
authors.lastname: Ohnita
authors.forename: Tatsuki
authors.initials: T
authors.lastname: Ichikawa
authors.forename: Hajime
authors.initials: H
authors.lastname: Isomoto
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nakao
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000897:Anti-Ulcer Agents / Q000627:therapeutic use*; D017291:Clarithromycin / Q000627:therapeutic use; D015179:Colorectal Neoplasms / Q000188:drug therapy* / Q000382:microbiology; D016145:Endoscopy, Digestive System; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D016481:Helicobacter Infections / Q000188:drug therapy*; D016480:Helicobacter pylori; D006801:Humans; D044483:Intestinal Polyposis / Q000188:drug therapy* / Q000382:microbiology; D011239:Prednisolone / Q000627:therapeutic use; D064750:Rabeprazole; D012008:Recurrence; D012074:Remission Induction
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D000900:Anti-Bacterial Agents; D000897:Anti-Ulcer Agents; D005938:Glucocorticoids; D064750:Rabeprazole; D000658:Amoxicillin; D011239:Prednisolone; D017291:Clarithromycin