Evidence map›Paper›PMID 31797201›Full record

ReviewClinical journal of gastroenterology2020

Distribution of lanthanum carbonate in the gastric mucosa confirmed by electron microscopy with a magnified endoscopy: a case report and literature review.

Takahiro Yamada, Tsuneo Oyama, Akihisa Tomori, Akiko Takahashi, Kiyokazu Kametani, Satoshi Shiozawa, Hiroyoshi Ota, Tadakazu Shimoda

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Clinical journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Whitish Deposits in the Stomach and Duodenum.United European gastroenterology journal · 2025
    Article
  2. Article
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Takahiro YamadaDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, 3400-28 Nakagomi, Saku, Nagano, 385-0051, Japan. hardswimdrummer@yahoo.co.jp.
Tsuneo OyamaDepartment of Endoscopy, Saku Central Hospital Advanced Care Center, Saku, Nagano, Japan.
Akihisa TomoriDepartment of Gastroenterology, Saku Central Hospital Advanced Care Center, 3400-28 Nakagomi, Saku, Nagano, 385-0051, Japan.
Akiko TakahashiDepartment of Endoscopy, Saku Central Hospital Advanced Care Center, Saku, Nagano, Japan.
Kiyokazu KametaniDivision of Instrumental Analysis, Research Center for Human and Environmental Sciences, Shinshu University, Matsumoto, Nagano, Japan.
Satoshi ShiozawaClinical Pathology, Saku Central Hospital Advanced Care Center, Saku, Nagano, Japan.
Hiroyoshi OtaDepartment of Biomedical Laboratory Sciences, School of Health Sciences, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Tadakazu ShimodaDepartment of Pathology, Shizuoka Cancer Center, Shizuoka, Japan.
Saku Central Hospital · JPShinshu University · JPShizuoka Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe the case of a 70-year-old man with diabetic nephropathy undergoing hemodialysis. Four years following hemodialysis, he started taking lanthanum carbonate 1500 mg/day and lansoprazole 30 mg/day. Nine years following hemodialysis, he underwent screening esophagogastroduodenoscopy, which demonstrated the presence of the whitish cobblestone-like mucosa in the gastric corpus and multiple reddish depressed lesions with annular whitish mucosa in the antrum. With magnified narrow-band imaging endoscopy, a yellowish-white substance was observed in the villous structure, and subepithelial vessels were observed on the yellowish-white substance. Biopsies were taken from the whitish cobblestone-like mucosa of the upper corpus, a reddish depressed part of the antrum. Histologically, aggregates of cells containing amphophilic fine granular material were found in the mucosal interstitium. These cells stained positive for CD68 and were identified as histiocytes. Since he had been taking lanthanum carbonate for 5 years, we considered the possibility of histiocyte-mediated phagocytosis of lanthanum. Digital mapping via scanning electron microscopy with energy-dispersive X-ray spectrometry showed the presence of lanthanum and phosphorus in the interstitium and cytoplasm of histiocytes. The white, rough mucosa in the gastric body appeared 6 months following the commencement of lanthanum administration and still exists 3 years and 5 months after discontinuation of lanthanum.

Indexed as

AgedGastric MucosaGastroscopyHumansHyperphosphatemiaLanthanumMaleMicroscopy, Electron, ScanningRenal DialysisLanthanumlanthanum carbonateGastric mucosaLanthanumRetrospective

Identifiers

PMID31797201
PMCPMC7239835
OpenAlexW2991684097

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.