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Cap polyposis cured by Helicobacter pylori eradication therapy.
J Gastroenterol. 2002; 37(6):463-6.JG

Abstract

The pathogenesis of cap polyposis remains unknown. Here, we report a patient with cap polyposis that developed simultaneously in the colon and stomach, and which regressed after Helicobacter pylori eradication. A 63-year-old man was diagnosed as having cap polyposis with mucoid stool, diarrhea, and bleeding on defecation. Following 5 weeks of total parenteral nutrition, his symptoms and hypoproteinemia improved and he was discharged, although follow-up colonoscopic findings revealed no improvement. Subsequent gastroscopy revealed diffusely erosive polyps with cap-like "fur" from the angle to the antrum of the stomach, similar to the lesions observed in the colon. Because H. pylori infection was demonstrated in the stomach, eradication therapy was administered. After this treatment, his symptoms immediately disappeared, and the polypoid lesions in the colon and stomach had completely disappeared 8 months later. Because there have been no previous reports of a relationship between H. pylori and cap polyposis, this case is of great interest.

Authors+Show Affiliations

Department of Gastroenterology, Osaka City General Hospital, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12108681

Citation

Oiya, Hideto, et al. "Cap Polyposis Cured By Helicobacter Pylori Eradication Therapy." Journal of Gastroenterology, vol. 37, no. 6, 2002, pp. 463-6.
Oiya H, Okawa K, Aoki T, et al. Cap polyposis cured by Helicobacter pylori eradication therapy. J Gastroenterol. 2002;37(6):463-6.
Oiya, H., Okawa, K., Aoki, T., Nebiki, H., & Inoue, T. (2002). Cap polyposis cured by Helicobacter pylori eradication therapy. Journal of Gastroenterology, 37(6), 463-6.
Oiya H, et al. Cap Polyposis Cured By Helicobacter Pylori Eradication Therapy. J Gastroenterol. 2002;37(6):463-6. PubMed PMID: 12108681.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cap polyposis cured by Helicobacter pylori eradication therapy. AU - Oiya,Hideto, AU - Okawa,Kiyotaka, AU - Aoki,Tetsuya, AU - Nebiki,Hiroko, AU - Inoue,Takeshi, PY - 2002/7/11/pubmed PY - 2003/1/8/medline PY - 2002/7/11/entrez SP - 463 EP - 6 JF - Journal of gastroenterology JO - J. Gastroenterol. VL - 37 IS - 6 N2 - The pathogenesis of cap polyposis remains unknown. Here, we report a patient with cap polyposis that developed simultaneously in the colon and stomach, and which regressed after Helicobacter pylori eradication. A 63-year-old man was diagnosed as having cap polyposis with mucoid stool, diarrhea, and bleeding on defecation. Following 5 weeks of total parenteral nutrition, his symptoms and hypoproteinemia improved and he was discharged, although follow-up colonoscopic findings revealed no improvement. Subsequent gastroscopy revealed diffusely erosive polyps with cap-like "fur" from the angle to the antrum of the stomach, similar to the lesions observed in the colon. Because H. pylori infection was demonstrated in the stomach, eradication therapy was administered. After this treatment, his symptoms immediately disappeared, and the polypoid lesions in the colon and stomach had completely disappeared 8 months later. Because there have been no previous reports of a relationship between H. pylori and cap polyposis, this case is of great interest. SN - 0944-1174 UR - https://www.unboundmedicine.com/medline/citation/12108681/Cap_polyposis_cured_by_Helicobacter_pylori_eradication_therapy_ L2 - https://dx.doi.org/10.1007/s005350200067 DB - PRIME DP - Unbound Medicine ER -