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Huge Juvenile Polyps of the Stomach: A Case Report_Juniper Publishers
ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY JUNIPER PUBLISHERS Authored by Tsutomu Nishida Abstract A 46-year-old man with no familial history of polyposis presented with diARGHhea for 2 months. Laboratory data showed anemia, and mild hypoproteinemia. Computed tomography shows two huge tumors in the stomach. Esophagogastroduodenoscopy showed two huge polyps and giant folds covering nodular mucosa in the stomach. Chromoendoscopy with indigo carmine showed that polyps with finger-like villous mucosa were partially reddish and had much mucin. All biopsy specimens from the polyps and randomly collected gastric mucosa indicated hyperplastic changes. Colonoscopy showed several sporadic adenomatous polyps. We diagnosed the patient with huge gastric hyperplastic polys causing protein losing and anemia and sporadic colonic adenomatous polyps. We performed gastrectomy. Immediately after surgery, he stopped diARGHhea and recovered hemoglobin and ser...
Peptic Ulcer Disease with Gastrointestinal Bleeding in Father and Son with Primary Polycythemia Vera_Juniper Publishers
ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY JUNIPER PUBLISHERS Authored byJohn Ryan Keywords Keywords: PPV: Primary Polycythemia Vera; GIB: Gastrointestinal Bleeding; MPD: Myeloproliferative Disease; VWF: Von Willebrand Factor Case Report Case 1 This is a 32 year old male of Asian descent with a known history of Primary Polycythemia Vera (PPV) with a positive JAK 2 mutation. He receives phlebotomy on a regular basis to maintain his hemoglobin below 14mg/dl. He presented with hematemesis and melena. He denied any known risk factors for upper GI bleeding. On presentation his systolic blood pressure was stable but he had a tachycardia with a heart rate 110120. His hemoglobin had descended from baseline of 14 down to 6.6mg/dl. He was administered a proton pump inhibitor (PPI) infusion. Following adequate volume resuscitation, an urgen...