A CASE OF GENERALIZED JUVENILE GASTROINTESTINAL POLYPOSIS WITH PROTEIN LOSING GASTROPATHY

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  • 蛋白漏出症を伴った若年性胃腸管ポリポーシスの1例

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Abstract

A 48-year-old man was seen at the our hospital because of general fatigue and edema. Laboratory studies showed anemia and hypoproteinemia. Endoscopic examination of the stomach revealed numerous small polyps which formed giant folds. Pathological diagnosis was juvenile polyposis with infection with H. Pylori. This case was judged to be one type of protein losing hypertrophic gastropathy, which is so called Menetrier's disease. We tried medication and eradication of H. Pylori however, endoscopic findings disclosed progress of the disease and no symptomatic remission was attaind. Total gastrectomy was finally performed. In the case of juvenile gastrointestinal polyposis which progresses or has no response to the medicine, surgical therapy should be considered.

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