Shimoyama Masayuki, Iwagami Hiroyoshi, Minaga Kosuke, Akamatsu Takuji, Uenoyama Yoshito, Yamashita Yukitaka
Department of Gastroenterology and Hepatology Japanese Red Cross Wakayama Medical Center Wakayama Japan.
JGH Open. 2024 Oct 2;8(10):e70032. doi: 10.1002/jgh3.70032. eCollection 2024 Oct.
Cronkhite-Canada syndrome (CCS) can be difficult to diagnose. To diagnose CCS, it is important to perform endoscopic examination for patients with chronic diarrhea, check for the presence or absence of polyposis, and evaluate inflammation in the mucosa between the polyps. This study reported seven cases of CCS. The age of the patients, which included four men and three women, ranged 48-72 years, and all patients were Asian. The most common symptom among these patients was chronic diarrhea. Three of the patients had rectal cancer. In two patients, the lesions were detected at an early stage and resected via endoscopic treatment. CCS is associated with a high risk of malignant gastrointestinal lesions, especially rectal cancers, and periodic surveillance endoscopy and careful observation are required.
克朗凯特-加拿大综合征(CCS)可能难以诊断。对于慢性腹泻患者,进行内镜检查、检查是否存在息肉病以及评估息肉间黏膜的炎症情况对于诊断CCS很重要。本研究报告了7例CCS病例。患者年龄在48至72岁之间,包括4名男性和3名女性,所有患者均为亚洲人。这些患者中最常见的症状是慢性腹泻。其中3例患者患有直肠癌。2例患者的病变在早期被检测到并通过内镜治疗切除。CCS与胃肠道恶性病变尤其是直肠癌的高风险相关,需要定期进行内镜监测和仔细观察。