A Case of Cap Polyposis Remission by Betamethasone Enema aer Antibiotics erapy including Helicobacter pylori Eradication
| العنوان: | A Case of Cap Polyposis Remission by Betamethasone Enema aer Antibiotics erapy including Helicobacter pylori Eradication |
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| المؤلفون: | Yuji Mizokami, Taiki Sato, Masashi Sato, Daisuke Akutsu, Hideo Suzuki, Hiroaki Sugiyama |
| المصدر: | Journal of Gastrointestinal and Liver Diseases. 23:203-206 |
| بيانات النشر: | Romanian Society of Gastroenterology and Hepatology, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, Colonoscopy, Rectum, Enema, Betamethasone, digestive system, Cap polyposis, Gastroenterology, Helicobacter Infections, Hypoproteinemia, Internal medicine, Humans, Medicine, Glucocorticoids, Helicobacter pylori, medicine.diagnostic_test, biology, Intestinal Polyposis, business.industry, Remission Induction, Middle Aged, medicine.disease, biology.organism_classification, digestive system diseases, Anti-Bacterial Agents, Surgery, Metronidazole, medicine.anatomical_structure, Female, business, medicine.drug |
| الوصف: | We report the case of a 58-year-old woman who was referred to our hospital due to frequent bloody mucus diarrhea. She was diagnosed with cap polyposis based on typical endoscopic and histological findings. Colonoscopy revealed multiple, reddish, mucus-capped polypoid lesions from the rectum to the sigmoid colon. A pathological examination revealed that the polyps were covered by erosive and inflamed granulation tissue with decreased crypt cells. Laboratory data indicated positive values for Helicobacter pylori immunoglobulin G antibody and hypoproteinemia. Metronidazole, H. pylori eradication, and levofloxacin therapies were not effective; however, the subsequent administration of betamethasone enema dramatically improved the clinical symptoms and endoscopic findings. The hypoproteinemia was normalized after the therapy. The dose of the betamethasone enema was tapered gradually, and no recurrence was observed 6 months after discontinuation of the treatment. This case suggests that betamethasone enema may be considered as the second treatment choice for cap polyposis patients after H. pylori eradication, metronidazole or levofloxacin therapy. |
| تدمد: | 1842-1121 1841-8724 |
| DOI: | 10.15403/jgld.2014.1121.232.hs1 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::19927fee914a5e882a35ea8941824ef1 https://doi.org/10.15403/jgld.2014.1121.232.hs1 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....19927fee914a5e882a35ea8941824ef1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18421121 18418724 |
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| DOI: | 10.15403/jgld.2014.1121.232.hs1 |