Localized giant inflammatory polyposis（LGIP）による通過障害のため全結腸を切除後，回腸嚢内に同様の病変を生じた潰瘍性大腸炎の1例

和唐 正樹; 稲葉 知己; 石川 久; 石川 茂直; 馬場 伸介; 三好 正嗣; 妹尾 知典; 永野 拓也; 高口 浩一; 河合 公三; 中村 聡子

doi:10.11280/gee.53.3295

A CASE OF ULCERATIVE COLITIS ASSOCIATED WITH LOCALIZED GIANT INFLAMMATORY POLYPOSIS (LGIP) IN THE POUCH AFTER TOTAL PROCTOCOLECTOMY DUE TO THE OBSTRUCTION CAUSED BY THE LGIP

Masaki WATO, Tomoki INABA, Hisashi ISHIKAWA, Shigenao ISHIKAWA, Nobuyuki BABA, Masatsugu MIYOSHI, Tomonori SENOH, Takuya NAGANO, Koichi TAKAGUCHI, Kozo KAWAI, Satoko NAKAMURA

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JOURNAL FREE ACCESS

2011 Volume 53 Issue 10 Pages 3295-3304

DOI https://doi.org/10.11280/gee.53.3295

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Abstract

A 46-year-old man with ulcerative colitis was admitted for general fatigue and edema. Colonoscopy revealed innumerable filiform-type pseudopolyps in the transverse colon and narrowing of the colonic lumen near the hepatic flexure caused by inflammation and polyposis. Localized giant inflammatory polyposis (LGIP) was diagnosed, and a total proctocolectomy with J-pouch anal anastomosis was performed. However, pouchitis occurred 11 months after surgery, and endoscopy revealed LGIP in the pouch. It is thought that physicians should be cautious of LGIP in the pouch after operating for ulcerative colitis associated with LGIP.

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