Korean Journal of Gastrointestinal Endoscopy 1998;18(3): 359-367.
증례 : 식도 위장관 ; 위내시경으로 진단된 유전분증 3예 ( Case Reports : Esophagus , Stomach & Intestine ; Three Cases of Amyloidosis Diagnosed by Endoscopic Biopsy of Stomach )
이한민, 김윤정, 엄철, 김상돈, 지석배, 이광재, 김진홍, 조성원, 임현이 (Han Min Lee, Yun Jung Kim, Cheol Eom, Sang Don Kim, Suk Bae Ji, Kwang Je Lee, Jin Hong Kim, Seong Won Jo and Hyun Lee Yim)
Abstract
Since amyloidosis is usually diagnosed later in the disease process, a high index of suspicion is therefore necessary for earlier diagnosis. Confirmative diagnosis rests on a biopsy of the involved organ. Gastrointestinal amyloidosis causes a variety of symptoms including intestinal obstruction, ulcers, malabsorption, hemorrhaging, protein loss, diarrhea, anorexia, nausea, vomiting, and dysphagia. We confirmed amyloid deposits in the stomach in three patients with epigastric pain through a biopsy of erosive gastritis documented on a gastrofiberscopy. One patient with primary amyloidosis which had invaded his kidney, stomach, and heart, expired, although aggressive treatment with a pacemaker insertion, peritoneal dialysis, and ventilator care was performed. Another patient with multiple myeloma died on the 38th day, after having started systemic chemotherapy. The other patient with secondary amyloidosis due to rheumatoid arthritis, is currently receiving colchicine at our out patient clinic. (Korean J Gagtrointest Endosc 18: 359-366, 1998)
PDF Links
Full text via DOI 
Download Citation 
