Abstract
A 37-year-old female visited our hospital complaining of dizziness. She was considered having chronic anemia (the Hb level of 4.4g/dl), and was admitted to the hospital for further investigations. Upper gastrointestinal endscopy detected multiple polyps of Yamada's type II with the diameter of several mm in the whole stomach.
Laparoscopy-assisted total gastrectomy was performed with the diagnosis of juvenile gastric polyposis.
Since gastric polyposis has recently been reported to have malignant potential and to be a risk factor of carcinogenesis, surgical removal is required. Distal gastrectomy has sometimes been performed to remove the polyposis only, but we recommend total gastrectomy for prevention of recurrence.
Laparoscopic surgery is useful and preferable to open surgery from a cosmetic viewpoint. However, this type of surgery is difficult, therefore, techniques and devices for maintaining the surgical space during the procedure should be warranted. As few reports have been described in Japan, this case is presented here with a review of the literature.
