Lanthanum carbonate is used for treatment of hyperphosphatemia mostly in patients with chronic renal failure.Although lanthanum carbonate is safe,recently,lanthanum deposition in the gastrointestinal mucosa of patient...Lanthanum carbonate is used for treatment of hyperphosphatemia mostly in patients with chronic renal failure.Although lanthanum carbonate is safe,recently,lanthanum deposition in the gastrointestinal mucosa of patients has been reported in the literature.This review provides an overview of gastroduodenal lanthanum deposition and focuses on disease's endoscopic,radiological,and histological features,prevalence,and outcome,by reviewing relevant clinical studies,case reports,and basic research findings,to better understand the endoscopic manifestation of gastrointestinal lanthanum deposition.The possible relationship between gastric lanthanum deposition pattern and gastric mucosal atrophy is also illustrated;in patients without gastric mucosal atrophy,gastric lanthanum deposition appears as diffuse white lesions in the posterior wall and lesser curvature of the gastric body.In the gastric mucosa with atrophy,lanthanum-related lesions likely appear as annular or granular whitish lesions.Moreover,these white lesions are probably more frequently observed in the lower part of the stomach,where intestinal metaplasia begins.展开更多
Electron microscopy has long been used in research in the fields of life sciences and materials sciences.Transmission and scanning electron microscopy and energy-dispersive X-ray spectroscopy(EDX)analyses have also be...Electron microscopy has long been used in research in the fields of life sciences and materials sciences.Transmission and scanning electron microscopy and energy-dispersive X-ray spectroscopy(EDX)analyses have also been performed in the field of gastroenterology.Electron microscopy and EDX enable(1)Observation of ultrastructural differences in esophageal epithelial cells in patients with gastroesophageal reflux and eosinophilic esophagitis;(2)Detection of lanthanum deposition in the stomach and duodenum;(3)Ultrastructural and elemental analyses of enteroliths and bezoars;(4)Detection and characterization of microorganisms in the gastrointestinal tract;(5)Diagnosis of gastrointestinal tumors with neuroendocrine differentiation;and(6)Analysis of gold nanoparticles potentially used in endoscopic photodynamic therapy.This review aims to foster a better understanding of electron microscopy applications by reviewing relevant clinical studies,basic research findings,and the state of current research carried out in gastroenterology science.展开更多
文摘Lanthanum carbonate is used for treatment of hyperphosphatemia mostly in patients with chronic renal failure.Although lanthanum carbonate is safe,recently,lanthanum deposition in the gastrointestinal mucosa of patients has been reported in the literature.This review provides an overview of gastroduodenal lanthanum deposition and focuses on disease's endoscopic,radiological,and histological features,prevalence,and outcome,by reviewing relevant clinical studies,case reports,and basic research findings,to better understand the endoscopic manifestation of gastrointestinal lanthanum deposition.The possible relationship between gastric lanthanum deposition pattern and gastric mucosal atrophy is also illustrated;in patients without gastric mucosal atrophy,gastric lanthanum deposition appears as diffuse white lesions in the posterior wall and lesser curvature of the gastric body.In the gastric mucosa with atrophy,lanthanum-related lesions likely appear as annular or granular whitish lesions.Moreover,these white lesions are probably more frequently observed in the lower part of the stomach,where intestinal metaplasia begins.
文摘Electron microscopy has long been used in research in the fields of life sciences and materials sciences.Transmission and scanning electron microscopy and energy-dispersive X-ray spectroscopy(EDX)analyses have also been performed in the field of gastroenterology.Electron microscopy and EDX enable(1)Observation of ultrastructural differences in esophageal epithelial cells in patients with gastroesophageal reflux and eosinophilic esophagitis;(2)Detection of lanthanum deposition in the stomach and duodenum;(3)Ultrastructural and elemental analyses of enteroliths and bezoars;(4)Detection and characterization of microorganisms in the gastrointestinal tract;(5)Diagnosis of gastrointestinal tumors with neuroendocrine differentiation;and(6)Analysis of gold nanoparticles potentially used in endoscopic photodynamic therapy.This review aims to foster a better understanding of electron microscopy applications by reviewing relevant clinical studies,basic research findings,and the state of current research carried out in gastroenterology science.
