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.

dyspepsia

reflux symptoms

upper endoscopy

polyps

juvenile polyposis syndrome