Juvenile Polyposis Complicated with Protein Losing Gastropathy

Kentaro Yamashita; Mayuko Saito; Miki Itoh; Eiichiro Yamamoto; Satoshi Yamaoka; Akira Goto; Yoshiaki Arimura; Yasuhisa Shinomura; Koji Yamaguchi; Takao Endo

doi:10.2169/internalmedicine.48.1749

CASE REPORTS

Juvenile Polyposis Complicated with Protein Losing Gastropathy

Kentaro Yamashita, Mayuko Saito, Miki Itoh, Eiichiro Yamamoto, Satoshi Yamaoka, Akira Goto, Yoshiaki Arimura, Yasuhisa Shinomura, Koji Yamaguchi, Takao Endo

Author information

Kentaro Yamashita
The First Department of Internal Medicine, Sapporo Medical University
Mayuko Saito
The First Department of Internal Medicine, Sapporo Medical University
Miki Itoh
The First Department of Internal Medicine, Sapporo Medical University
Eiichiro Yamamoto
The First Department of Internal Medicine, Sapporo Medical University
Satoshi Yamaoka
The First Department of Internal Medicine, Sapporo Medical University
Akira Goto
The First Department of Internal Medicine, Sapporo Medical University
Yoshiaki Arimura
The First Department of Internal Medicine, Sapporo Medical University
Yasuhisa Shinomura
The First Department of Internal Medicine, Sapporo Medical University
Koji Yamaguchi
The First Department of Surgery, Sapporo Medical University
Takao Endo
Department of Internal Medicine, Sapporo Shirakabadai Hospital

Keywords: juvenile polyposis, protein losing gastropathy

JOURNAL OPEN ACCESS

2009 Volume 48 Issue 5 Pages 335-338

DOI https://doi.org/10.2169/internalmedicine.48.1749

Details

Abstract

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.

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