Document Detail

Successful treatment of cap polyposis by avoidance of intraluminal trauma: clues to pathogenesis.
MedLine Citation:
PMID:  10950064     Owner:  NLM     Status:  MEDLINE    
"Cap polyposis" is a rarely-encountered condition in which distinctive inflammatory polyps are located from the rectum to the distal descending colon. Microscopically, the polyps consist of elongated, tortuous, and distended crypts covered by a "cap" of inflammatory granulation tissue. Although the pathogenesis is unknown, mucosal prolapse has been postulated to be an important etiological factor, given certain clinical and histological similarities. We describe two cases of cap polyposis with protein-losing enteropathy. One was treated successfully by avoidance of straining at defecation. Another resolved after double-barreled transverse colostomy. Both successful treatments support a causal link of polyposis to prolapse.
T Oriuchi; Y Kinouchi; M Kimura; N Hiwatashi; T Hayakawa; H Watanabe; S Yamada; T Nishihira; S Ohtsuki; T Toyota
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  95     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-08-30     Completed Date:  2000-08-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2095-8     Citation Subset:  IM    
Third Department of Internal Medicine, Tohoku University School of Medicine, Sendai, Japan.
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MeSH Terms
Colitis / complications
Colon / pathology,  radiography
Colonic Polyps / complications,  etiology,  surgery,  therapy*
Middle Aged
Protein-Losing Enteropathies / complications

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