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Video Tip: Diagnosing Juvenile Polyposis Syndrome ...
Diagnosing Juvenile Polyposis Syndrome
Diagnosing Juvenile Polyposis Syndrome
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Video Transcription
This ASG video tip is brought to you by an educational grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB. This is a 36 year old woman who underwent upper endoscopy for dyspepsia and reflux symptoms and was found to have a number of polyps in her stomach and this led to her undergoing colonoscopy. She had virtually no lower GI tract symptoms, no rectal bleeding and no diarrhea, no change in bowel habits. She was found to have more than 60 polyps in her colon. You can see that they're of quite variable size and this was the typical appearance of the lesions throughout the colon. So the correct answer here is juvenile polyposis syndrome. The clue to this is the endoscopic appearance of the polyps which is they look like inflammatory polyps. They are ulcerated, they have exudate on them, this is very characteristic of juvenile polyps. Inflammatory pseudopolyps in inflammatory bowel disease can also look like this but there's really no history of inflammatory bowel disease. The intervening mucosa looks normal around here and the large number of gastric polyps is characteristic also of juvenile polyposis.
Video Summary
In this video, a 36-year-old woman with dyspepsia and reflux symptoms undergoes upper endoscopy and is found to have polyps in her stomach. She then undergoes colonoscopy and is diagnosed with juvenile polyposis syndrome. The polyps in the colon are numerous and vary in size, exhibiting an appearance typical of juvenile polyps. The presence of gastric polyps further supports the diagnosis. This video tip is brought to you by Braintree, an educational grant from Cibela Pharmaceuticals, makers of SUTAB.
Keywords
dyspepsia
reflux symptoms
upper endoscopy
polyps
juvenile polyposis syndrome
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