| 위장관 유전분증의 임상 및 내시경 소견 |
| 문원·이오영·조윤주*·양선영·박호용·한성희·이항락·윤병철·최호순·함준수·이민호·이동후·기춘석 |
| 한양대학교 의과대학 내과학교실, *을지의과대학교 내과학교실 |
| The Endoscopic Findings and Clinical Characteristics of Gastrointestinal Amyloidosis |
| Won Moon, M.D., Oh Young Lee, M.D., Yun Ju Cho, M.D.*, Sun Young Yang, M.D., Ho Yong Park, M.D., Sung Hee Han, M.D., Hang Lak Lee, M.D., Byoeng Chul Yoon, M.D., Ho Soon Choi, M.D., Joon Soo Hahm, M.D., Min Ho Lee, M.D., Dong Hoo Lee, M.D. and Choon Suhk K |
| Departmemt of Internal Medicine, Hanyang University College of Medicine, *Department of Internal Medicine, Eulji University of Medicine, Seoul, Korea |
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| Abstract |
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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. (Korean J Gastrointest Endosc 2005;31:216220) |
| Key Words:
Amyloidosis, Endoscopy |
| 주요어:
유전분증, 위장관 내시경 검사 |
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