Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule Endoscopy

Cowden syndrome is an uncommon, autosomal dominant disease characterized by multiple hamartomas and hyperplastic lesions in the skin, mucous membrane, brain, breast, thyroid, and gastrointestinal tract. About 30% of Cowden syndrome cases are reportedly complicated by malignant diseases. Hamartomatou...

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Main Authors: Keita Saito, Eiki Nomura, Yu Sasaki, Yasuhiko Abe, Nana Kanno, Naoko Mizumoto, Rika Shibuya, Kazuhiro Sakuta, Makoto Yagi, Kazuya Yoshizawa, Daisuke Iwano, Takeshi Sato, Shoichi Nishise, Yoshiyuki Ueno
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2015/475705
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author Keita Saito
Eiki Nomura
Yu Sasaki
Yasuhiko Abe
Nana Kanno
Naoko Mizumoto
Rika Shibuya
Kazuhiro Sakuta
Makoto Yagi
Kazuya Yoshizawa
Daisuke Iwano
Takeshi Sato
Shoichi Nishise
Yoshiyuki Ueno
author_facet Keita Saito
Eiki Nomura
Yu Sasaki
Yasuhiko Abe
Nana Kanno
Naoko Mizumoto
Rika Shibuya
Kazuhiro Sakuta
Makoto Yagi
Kazuya Yoshizawa
Daisuke Iwano
Takeshi Sato
Shoichi Nishise
Yoshiyuki Ueno
author_sort Keita Saito
collection DOAJ
description Cowden syndrome is an uncommon, autosomal dominant disease characterized by multiple hamartomas and hyperplastic lesions in the skin, mucous membrane, brain, breast, thyroid, and gastrointestinal tract. About 30% of Cowden syndrome cases are reportedly complicated by malignant diseases. Hamartomatous polyps occur throughout the gastrointestinal tract, the most common sites being the stomach, colon, esophagus, and duodenum. Small bowel polyps can occur in Cowden syndrome; however, they are difficult to detect by conventional examination, including double-contrast X-ray study. Here, we report three cases of Cowden syndrome with small bowel polyps, which were detected by capsule endoscopy. The small bowel polyps of Cowden syndrome frequently occur at the oral end of the small bowel, especially in the duodenum and jejunum, and their color is similar to that of the surrounding mucosa; additionally, the polyps are relatively small (2–5 mm). Capsule endoscopy is useful for detecting small bowel polyps in Cowden syndrome.
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institution Kabale University
issn 2090-6528
2090-6536
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Gastrointestinal Medicine
spelling doaj-art-939d83c93e31452187a6f387eff046552025-02-03T01:25:52ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362015-01-01201510.1155/2015/475705475705Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule EndoscopyKeita Saito0Eiki Nomura1Yu Sasaki2Yasuhiko Abe3Nana Kanno4Naoko Mizumoto5Rika Shibuya6Kazuhiro Sakuta7Makoto Yagi8Kazuya Yoshizawa9Daisuke Iwano10Takeshi Sato11Shoichi Nishise12Yoshiyuki Ueno13Department of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata 990-9585, JapanCowden syndrome is an uncommon, autosomal dominant disease characterized by multiple hamartomas and hyperplastic lesions in the skin, mucous membrane, brain, breast, thyroid, and gastrointestinal tract. About 30% of Cowden syndrome cases are reportedly complicated by malignant diseases. Hamartomatous polyps occur throughout the gastrointestinal tract, the most common sites being the stomach, colon, esophagus, and duodenum. Small bowel polyps can occur in Cowden syndrome; however, they are difficult to detect by conventional examination, including double-contrast X-ray study. Here, we report three cases of Cowden syndrome with small bowel polyps, which were detected by capsule endoscopy. The small bowel polyps of Cowden syndrome frequently occur at the oral end of the small bowel, especially in the duodenum and jejunum, and their color is similar to that of the surrounding mucosa; additionally, the polyps are relatively small (2–5 mm). Capsule endoscopy is useful for detecting small bowel polyps in Cowden syndrome.http://dx.doi.org/10.1155/2015/475705
spellingShingle Keita Saito
Eiki Nomura
Yu Sasaki
Yasuhiko Abe
Nana Kanno
Naoko Mizumoto
Rika Shibuya
Kazuhiro Sakuta
Makoto Yagi
Kazuya Yoshizawa
Daisuke Iwano
Takeshi Sato
Shoichi Nishise
Yoshiyuki Ueno
Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule Endoscopy
Case Reports in Gastrointestinal Medicine
title Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule Endoscopy
title_full Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule Endoscopy
title_fullStr Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule Endoscopy
title_full_unstemmed Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule Endoscopy
title_short Characteristics of Small Bowel Polyps Detected in Cowden Syndrome by Capsule Endoscopy
title_sort characteristics of small bowel polyps detected in cowden syndrome by capsule endoscopy
url http://dx.doi.org/10.1155/2015/475705
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