Juvenile Gastric Polyposis Treated with Total Gastrectomy for Anemia Refractory to Medical Treatment—A Case Report—

Abstract

Juvenile gastric polyposis (JGP) is a rare disease in which juvenile polyps, which are neoplastic polyps, are confined to the stomach. The patient was a 44-year-old woman. She underwent upper gastrointestinal endoscopy at the age of 36 years for a detailed examination of heartburn. She was found to have gastric polyposis and diffuse redness and bleeding of the gastric mucosa, and acute hemorrhagic gastritis was diagnosed. Six months earlier, the patient came to our hospital due to hematemesis, and upper gastrointestinal endoscopy showed dense hemorrhagic polyps throughout the stomach. She came to our hospital again for hematemesis, but medical treatment did not improve her anemia, and she was referred to our department for surgery. Taking into account the fact that her sister had undergone gastrectomy for gastric polyposis, JCP was diagnosed. During the waiting period for surgery, she continued to have hematemesis, her Hb level dropped to 6.2 g/dl, and a semi-emergency laparotomy was performed. The excised specimen showed dense polyps throughout the stomach, and histopathological examination showed that the polyps were hamartomatous. A case of JGP that underwent total gastrectomy for anemia that was difficult to treat medically was reported.