Symptomatic Primary (AL) Amyloidosis of the Stomach and Duodenum

Symptomatic Primary (AL) Amyloidosis of the Stomach and Duodenum

Primary (AL) amyloidosis of the gastrointestinal tract is relatively rare, and symptomatic amyloidosis of the stomach is even more seldom. We present the case of a patient who was referred to upper endoscopy because of weight loss, nausea, and vomiting. Large areas of intramucosal hemorrhages were seen, and biopsies resulted in profuse bleeding stopped with endoscopic clips. The biopsies showed...

The stomach and duodenum.

Esophagus, Stomach, and Duodenum

Patients with ingestion of foreign objects and esophageal food boluses commonly are seen in the emergency department (ED). Although most objects pass spontaneously, approximately 10 to 20% require a nonoperative intervention, and fewer than 1% require surgical removal. Death as a result of foreign body ingestion or impaction is rare. Patients with esophageal foreign bodies can be classified int...

Stomach and Duodenum GROSS ANATOMY OF THE STOMACH AND DUODENUM Arteries

The stomach has an arterial supply on both the lesser and greater curves . On the lesser curve, the left gastric artery, a branch of the coeliac axis, forms an anastomotic arcade with the right gastric artery, which arises from the common hepatic artery. The gastroduodenal artery, which is also a branch of the hepatic artery, passes behind the first part of the duodenum. Here it divides into th...

Endoscopic features of primary amyloidosis of the stomach.

A 72-year-old-woman, with a history of resection of tracheal (AL) amyloidosis at age 61 and biopsy-based diagnosis of gastric amyloidosis at age 68, was admitted to our hospital. No amyloid deposits had been detected in any other organ and multiple myeloma had been excluded. Gastroscopy showed several findings, including ulcerative lesions mimicking advanced cancer, submucosal tumor-like lesion...