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A 67-year-old Japanese man noted epigastric pain, diarrhea, and a weight loss of 10 kg that had occurred over the previous 3 months. The patient was referred to our hospital, pertinent initial laboratory findings showed hypoproteinemia: total serum protein, 3.9 g/dL; albumin, 2.6 g/dL. Also, the alpha-1 antitrypsin test was positive (24.1 mL/day). Serology results for Helicobacter pylori (H. pylori) and cytomegalovirus were negative. Double-contrast radiographs of

Multiple Gastric Polypoid Lesions with Protein-losing Enteropathy