TABLE 2.
Patient | Status | Age of First EGD Specimen (y) |
Age at First Gastric JP Diagnosis (y) |
Total EGD Follow-up (mo) |
Gastrectomy | Death | |||
---|---|---|---|---|---|---|---|---|---|
Age (y) |
Indications | Diagnosis | Age (y) |
Cause | |||||
1 | Gastrectomy then deceased | 45 | 45 | 131 | 56 | Large polyp burden Severe bleeding |
Multiple JP, largest 3.0 cm; no dysplasia or carcinoma | 59 | Liver failure caused by long-term total parenteral nutrition |
Gastrectomy Diagnosis | |||||||||
2 | Gastrectomy | 36 | 36 | 67 | 41 | HGD Large polyp burden |
Invasive adenocarcinoma, 5 mm, metastasis to 1 lymph node; multiple JP, largest confluent polyp 14.5 cm | ||
3 | Gastrectomy* | 37 | 37 | 130 | 48 | Large polyp burden Severe bleeding |
Over 50 JPs, largest polyp 1.2 cm with no dysplasia or carcinoma | ||
EGD Findings | |||||||||
4 | Deceased* | 73 | 73 | 1 | Large fungating friable masses and numerous polyps of varying size in fundus and proximal body of the stomach; several sessile polypoid lesions in antrum | 74 | Debilitation due to total parenteral nutrition, hypoalbuminemia and anemia | ||
5 | Deceased* | 39 | 44 | 141 | JP at gastroesophageal junction; edematous gastric and duodenal folds consistent with known history of protein losing enteropathy | 51 | Septic shock and severe anasarca due to shot gut syndrome |
These 3 patients had also undergone total colectomy at age 22, 68, and 28, respectively.