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Massive Gastric Juvenile Polyposis Associated With Intermittent Gastric Outlet Obstruction: A Case Report
Dimitrios Linardoutsos1,2, Evgenia Mela1, Stamatina Triantafyllou1
1First Propaedeutic Department of Surgery, Hippocration General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Juvenile polyposis syndrome, a rare condition, caused gastric outlet obstruction in an elderly woman due to massive gastric polyps. Surgical removal via total gastrectomy provided a successful treatment outcome.
Area of Science:
- Gastroenterology
- Oncology
Background:
- Juvenile polyposis syndrome (JPS) is characterized by numerous hamartomatous polyps throughout the gastrointestinal tract.
- Gastric involvement in JPS is rare, with polyps typically found in the colon and rectum.
Observation:
- A 70-year-old woman presented with a three-year history of epigastric pain and severe bloating.
- She was diagnosed with gastric outlet obstruction and gastroparesis secondary to massive gastric juvenile polyps.
Findings:
- The patient's symptoms were attributed to extensive juvenile polyps within the stomach.
- These polyps led to significant obstruction of the gastric outlet and impaired gastric motility.
Implications:
- This case highlights the potential for JPS to manifest with rare gastric complications in older adults.
- Total gastrectomy is a viable surgical option for managing severe gastric outlet obstruction caused by massive juvenile polyps.
- Increased awareness of JPS gastric manifestations is crucial for timely diagnosis and effective treatment.
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