Evidence map›Paper›PMID 39955503›Full record

ArticleBMC gastroenterology2025

Endoscopic and pathological characteristics of gastrointestinal amyloidosis: a retrospective analysis.

Zhanyue Niu, Yanfei Lang, Yuting Shen, Hejun Zhang, Yan Xue, Shigang Ding

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zhanyue Niu *Department of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, China.
Yanfei Lang *Department of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, China.
Yuting ShenDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, China.
Hejun ZhangDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, China.
Yan XueDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, China.
Shigang DingDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, China. dingshigang222@163.com.

Funding

the China Health and Medical Development Foundation LM2023782
6 · The paper itself

Abstract

backgroundGastrointestinal amyloidosis (GIA) is a rare manifestation of amyloidosis, characterized by amyloid fibril deposition in the gastrointestinal tract, leading to a range of clinical symptoms. Early diagnosis is challenging due to the nonspecific nature of endoscopic and clinical findings.

objectiveTo analyze the clinical, endoscopic, and pathological characteristics of GIA and identify potential diagnostic markers for earlier detection.

methodsA retrospective study was conducted on 36 patients diagnosed with GIA based on histopathological findings, including Congo Red staining. Clinical, endoscopic, and pathological data were analyzed to identify correlations between lesion morphology, clinical symptoms, and amyloid deposition.

resultsThe cohort consisted of 22 males (61.1%) and 14 females (38.9%), with a mean age of 61.7 years. Endoscopic findings were diverse, with elevated lesions (57.1%) most common in the esophagus, stomach, and small intestine, and white patches (66.7%) prevalent in the duodenum. Histopathological analysis confirmed amyloid deposits in 62.8% of biopsy specimens. The small intestine exhibited the highest detection rate (100%), while the colorectum had the lowest (37.5%). Patients with elevated lesions may be asymptomatic, and among those with symptoms, abdominal pain is most common. Flat lesions are primarily associated with multiple symptoms, with abdominal discomfort, pain, distension, and acid reflux being the most frequent. The infiltration depth varied across different gastrointestinal tract segments, with the mucosal layer predominantly affected in the esophagus and stomach, whereas the submucosal layer more significantly involved in the duodenum and colon.

conclusionGastrointestinal amyloidosis presents with a wide range of clinical symptoms and endoscopic manifestations. Histopathological diagnosis through standardized biopsy is crucial, and attention should be given to the depth of tissue sampling, as it may play a significant role in reducing misdiagnosis.

Indexed as

AmyloidosisGastrointestinal DiseasesAbdominal PainAdultAgedAged, 80 and overBiopsyEndoscopy, GastrointestinalFemaleHumansMaleMiddle AgedRetrospective StudiesDiagnosisEndoscopic featuresGastrointestinal amyloidosisPathological features

Identifiers

PMID39955503
PMCPMC11830184

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