Korean J Gastrointest Endosc.  2005 Oct;31(4):216-220.

The Endoscopic Findings and Clinical Characteristics of Gastrointestinal Amyloidosis

Affiliations
  • 1Departmemt of Internal Medicine, Hanyang University College of Medicine, Korea. leeoy@hanyang.ac.kr
  • 2Department of Internal Medicine, Eulji University of Medicine, Seoul, Korea.

Abstract

BACKGROUND/AIMS
Gastrointestinal involvement is common in systemic amyloidosis. However, there have not been reports of any specific endoscopic findings which indicate amyloidosis in the gastrointestinal tracts in Korea. We aimed to find out the endoscopic findings and clinical characteristics of gastrointestinal amyloidosis.
METHODS
We analyzed seventeen histologic proven amyloidosis cases that all performed the endoscopy in Hanyang Medical Cencer.
RESULTS
The main findings of gastroscopy were multiple erosions (5 cases), ulcer (3 cases), nodularities and hyperemic mucosa (1 case). Colonoscopic findings were hyperemic mucosa (8 cases), nodularities (3 cases), hemorrhagic spots (3 cases) and ulcers (3 cases).
CONCLUSIONS
When a patient undergoing chronic inflammatory diseases has various abdominal symptoms, endoscopic biopsy should be done in every case because grossly normal looking mucosa dose not preclude the histologic evidence of amyloidosis.

Keyword

Amyloidosis; Endoscopy
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