A Case of Juvenile Gastric Polyposis Accompanied by Anemia and Hypoproteinemia

Daisuke Komatsu, Kouhei Takahashi, Shigeyoshi Kumeda, Daiki Aoyagi* and Masako Otani*

Department of Surgery, Nagano Prefectural Kiso Hospital
*Department of Pathology, Shinshu University

A 60-year-old man followed up for 20 years with gastric polyposis underwent unsuccessful medical treatment including supplementary iron therapy, lansoprazole administration, and Helicobacter pylori eradication therapy. Total gastrectomy was attempted for chronic iron deficiency anemia and hypoproteinemia. Numerous polyps were found throughout the stomach and hypertrophic folds observed from the gastric body to the fundus. No obvious familial history was demonstrable for oral or circumoral pigmentation, congenital baldness, or nail abnormality. Pathological findings for the resected specimen led to a diagnosis of juvenile polyposis limited to the stomach, a rare condition. Only 20 cased have been reported in Japan since 1979. Of these, 9 included coexistent adenocarcinoma. Total gastrectomy is thus advisable in a case of juvenile polyposis of the stomach with complications such as anemia and hypoproteinemia.

Key words
juvenile polyposis, iron deficiency anemia, hypoproteinemia

Reprint requests
Daisuke Komatsu Department of Surgery, Nagano Prefectural Kiso Hospital
6613-4 Kisofukushima, Nagano, 397-8555 JAPAN

Accepted
March 24, 2004

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