1999 年 54 巻 p. 120-121
A 24-year-old woman came to the hospital for the biennial check-up. She had had iron deficiency anemia since the age of 11 years, and was found to have multiple polyps in the stomach, small bowel and colon (reported at the 44th Endoscopy Congress) . Polyps were pedunculated as well as sessile, and particularly there were more in the jejunum. Laparotomy was carried out and 39 polyps were removed surgically ; anemia improved subsequently. She was followed every 2 years thereafter. In Nov. 1996, she developed mild anemia. Upper GI endoscopy disclosed 2 polyps in the stomach, colonoscopy demonstrated several, and barium study numerous polyps in the small bowel. Polyps in the small bowel were removed under laparotomy. These polyps were hyperplastic histologically. We now report on this patient with recurrent juvenile polyposis with a review of the literature.