Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 13: A 73-Year-Old Womanwith A “Juvenile” Disease (continued)

Ghazaleh Aram, MD

A 73-year-old woman presented who was originally diagnosed as having familial adenomatous polyposis (FAP) and had undergone a colectomy with ileo-rectal anastomosis 5 years prior. Her first polyp was found at age 48, and for the next 25 years she underwent surveillance colonoscopy with polypectomies on an annual basis. She had a long-standing history of worsening diarrhea, transfusion dependence with intermittent gastrointestinal bleeding, and anasarca due to hypoalbuminemia. She also had numerous gastric polyps on upper endoscopy. Past medical history was also notable for gastroesophageal…
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