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Cap Polyposis: A Case Report.

JNMA J Nepal Med Assoc

June 2023

Department of Surgery, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.

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  • - Cap polyposis is a gastrointestinal condition characterized by multiple inflammatory polyps found in the distal colon and rectum, exhibiting symptoms similar to inflammatory bowel disease.
  • - A case study details an 18-year-old male who experienced painless rectal bleeding and underwent multiple polypectomies to address the polyps located in the recto-sigmoid area.
  • - Despite being a rare disease, cap polyposis can be effectively treated through laparoscopic resection.
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Background: Lymphoma and dysplasia are rare complications of long-standing Crohn's disease. We report an exceptional case of a synchronous intestinal marginal zone B-cell lymphoma (MALT lymphoma) and colonic adenoma in a Crohn's disease patient.

Case Presentation: A 50-year-old male patient presented with right lower quadrant for the last 9 months.

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Objectives: Accurate, real-time, endoscopic risk stratification of colorectal polyps would improve decision-making and optimize clinical efficiency. Technologies to manipulate endoscopic optical outputs can be used to predict polyp histology in vivo; however, it remains unclear how accuracy has progressed and whether it is sufficient for routine clinical implementation.

Methods: A meta-analysis was conducted by searching MEDLINE, Embase, and the Cochrane Library.

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Colorectal carcinomas (CRC) were initially thought to be rare in Africa including Nigeria, but recent studies have shown a reverse trend in our environment. This study is aimed to identify the clinical and pathological characteristics of CRC diagnosed between July 2006 and June 2015 in the University of Uyo Teaching Hospital, and a Private Specialist Laboratory, Uyo, Akwa Ibom State, Nigeria. All histological diagnosed cases of CRC seen in the two laboratories (University teaching and a private facility) in Uyo, Akwa-Ibom state, Nigeria during the study period were retrieved noting their bio-data, pathological and clinical variables.

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Introduction: Surgery is the only treatment option for familial adenomatous polyposis (FAP). Aim of surgery in FAP is to minimize colorectal cancer risk without need for permanent stoma. There are especially two operation options; Total colectomy with ileorectal anastomosis (IRA) and total proctocolectomy with ileo-pouch anal anastomosis (IPAA).

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