[Alcoholic cirrhosis and hemochromatosis].
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Biomedical subjects
Publications and source records attributed to F Pergola.
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The authors report five cases of gastric amyloidosis in addition of the fourty three published cases. These cases was polyvisceral forms, 4 times primitive and 1 time secondary to a psoriasic rheumatism. Three times only the patients had complaints of digestive tract. Four times non specific radiologic and endoscopic signs lead to a biopsy which permits diagnosis. The biopsy of gastric mucosa must take place beside the rectal biopsy; more difficult to do, it might be more successfull because the stomach is more often infiltrated by amyloidosis than the colon.
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The origin of bleeding in 54 patients was determined by fibroscopy in 36 cases. In 29 (80%) it was due to oesophageal varices. Such ulceration of oesophageal varices is the chief cause of bleeding (80% of cases). It is most grave when there is abundant and persistent haemorrhage in an individual aged less than 55, in particular male, and with signs of severe hepatic insufficiency.
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