Nakagawa Yoshifumi, Nagai Takayuki, Okawara Hitoshi, Nakashima Hiroshi, Tasaki Takako, Soma Wataru, Hisamatsu Akari, Watada Masahide, Murakami Kazunari, Fujioka Toshio
Department of Gastroenterology, Oita Kouseiren Tsurumi Hospital, Beppu.
Intern Med. 2009;48(23):2009-13. doi: 10.2169/internalmedicine.48.2547. Epub 2009 Dec 1.
A 52-year-old woman was diagnosed with cap polyposis (CP) with characteristic clinical, endoscopic, and histological features. By avoiding straining at defecation, her symptoms improved temporarily, however recrudesced. She was diagnosed with Helicobacter pylori (H. pylori) infection, and received eradication therapy successfully. After this eradication therapy, her symptoms and colonoscopic findings recovered completely. Only two reports in the English language literature have discussed the relationship between CP and eradication therapy for H. pylori, all patients achieved complete recovery. We recommend H. pylori testing for all cases of CP and H. pylori eradication therapy if necessary.
一名52岁女性被诊断为具有典型临床、内镜及组织学特征的结肠息肉病（CP）。通过避免排便时用力，她的症状暂时改善，但随后复发。她被诊断为幽门螺杆菌（H. pylori）感染，并成功接受了根除治疗。根除治疗后，她的症状和结肠镜检查结果完全恢复。英文文献中仅有两篇报道讨论了CP与幽门螺杆菌根除治疗之间的关系，所有患者均实现了完全康复。我们建议对所有CP病例进行幽门螺杆菌检测，必要时进行幽门螺杆菌根除治疗。
