ENDOSCOPIC AND BIOPSY FINDINGS OF THE UPPER DIGESTIVE-TRACT IN PATIENTS WITH AMYLOIDOSIS

被引:136
|
作者
TADA, S
IIDA, M
IWASHITA, A
MATSUI, T
FUCHIGAMI, T
YAMAMOTO, T
YAO, T
FUJISHIMA, M
机构
[1] MATSUYAMA RED CROSS HOSP,DIV GASTROENTEROL,MATSUYAMA,JAPAN
[2] MATSUYAMA RED CROSS HOSP,DIV PATHOL,MATSUYAMA,JAPAN
[3] FUKUOKA UNIV,SCH MED,DEPT INTERNAL MED 1,FUKUOKA 81401,JAPAN
关键词
D O I
10.1016/S0016-5107(90)70913-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic and biopsy findings of the esophagus, stomach, duodenum, and colorectum were studied in 37 patients with amyloidosis involving the gastrointestinal tract. Endoscopic examinations revealed fine granular appearance, polypoid protrusions, erosions, ulcerations, and mucosal friability in many cases. These findings were most marked and noticed most often in the second portion of the duodenum. The frequency of amyloid deposition in the biopsy specimens was as follows; 100% in the duodenum, 95% in the stomach, 91% in the colorectum, and 72% in the esophagus. The degree of amyloid deposition in the duodenum, which was the highest of the entire gastrointestinal tract, significantly correlated with the frequency of endoscopic findings such as fine granular appearance and polypoid protrusions. Therefore, the two endoscopic findings described above are characteristic of this disease and may reflect amyloid deposition in the mucosa or submucosa of the alimentary tract. Our results indicate that for a diagnosis of amyloidosis, it is important to examine the upper gastrointestinal tract, especially the duodenum, using endoscopy and biopsy techniques. © 1990, American Society for Gastrointestinal Endoscopy. All rights reserved.
引用
收藏
页码:10 / 14
页数:5
相关论文
共 50 条
  • [1] ENDOSCOPIC SONOGRAPHY OF THE UPPER DIGESTIVE-TRACT
    DANCYGIER, H
    ULTRASCHALL IN DER MEDIZIN, 1989, 10 (03): : 164 - 169
  • [2] ENDOSCOPIC CYTOLOGY OF THE UPPER PART OF THE DIGESTIVE-TRACT
    RONSKY, R
    KULHANKOVA, J
    FRIC, P
    HUSLAROVA, A
    DVORAK, M
    DVORAKOVA, H
    JIRASEK, A
    KOTRLIK, J
    SLABY, J
    SBORNIK LEKARSKY, 1986, 88 (10-11): : 299 - 305
  • [3] ENDOSCOPIC ASPECTS OF MYCOSIS IN THE UPPER DIGESTIVE-TRACT
    KNOKE, M
    BERNHARDT, H
    ENDOSCOPY, 1980, 12 (06) : 295 - 298
  • [4] VALUE OF CONTROLLED BIOPSY IN ENDOSCOPY OF UPPER DIGESTIVE-TRACT
    TRUCHOT, R
    LYON MEDICAL, 1974, 231 (04): : 333 - 339
  • [5] ENDOSCOPIC POLYPECTOMY OF UPPER PART OF DIGESTIVE-TRACT IN OUTPATIENTS
    KOVALEV, AI
    PONOMAREV, VG
    SOTNIKOV, VN
    SANINA, ZN
    SLEPTSOV, AA
    TITKIN, VM
    SOVETSKAYA MEDITSINA, 1978, (11): : 23 - 27
  • [6] ENDOSCOPIC ULTRASONOGRAPHY IN THE STUDY OF EXTRAMUCOSAL SWELLINGS IN THE UPPER DIGESTIVE-TRACT
    BARBOSA, J
    MACIEL, J
    AMARANTE, M
    SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1995, 9 (11): : 1193 - 1196
  • [7] ENDOSCOPIC ULTRASONOGRAPHY IN THE DIAGNOSIS OF SUBMUCOSAL TUMOR OF THE UPPER DIGESTIVE-TRACT
    YASUDA, K
    NAKAJIMA, M
    KAWAI, K
    SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1986, 21 : 59 - 67
  • [8] ENDOSCOPIC HEMOSTASIS WITH DEHYDRATED ETHANOL FOR UPPER DIGESTIVE-TRACT HEMORRHAGE
    GALIANA, HG
    TAULLARD, D
    MARRUGO, A
    PRENSA MEDICA ARGENTINA, 1990, 77 (05): : 1 - 6
  • [9] ENDOSCOPIC ULTRASONOGRAPHY OF THE DIGESTIVE-TRACT
    PALAZZO, L
    ROSEAU, G
    GAYET, B
    AMOUYAL, P
    PONSOT, P
    PAOLAGGI, JA
    PRESSE MEDICALE, 1989, 18 (35): : 1748 - 1752
  • [10] UPPER DIGESTIVE-TRACT ENDOSCOPY
    FROST, RA
    BRITISH JOURNAL OF RADIOLOGY, 1987, 60 (712): : 419 - 420