Identification and management of gastrointestinal manifestations of hereditary transthyretin amyloidosis : Recommendations from an Italian group of experts
Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved..
Gastrointestinal manifestations are common across all hereditary transthyretin amyloidosis (ATTRv) genotypes. However, they are poorly specific, and their recognition as part of ATTRv is difficult, resulting in misdiagnosis with more common conditions. Moreover, delays in diagnosis occur because of fragmented knowledge, a shortage of centers of excellence and specialists dedicated to ATTRv management, and the scarce involvement of gastroenterologists in multidisciplinary teams. A group of Italian gastroenterologists with experience in the management of ATTRv took part in a project aimed at assessing the awareness of ATTRv among the community of Italian gastroenterologists through an online survey and providing education about practical aspects of ATTRv management. Survey results reported low participation, and very few patients with ATTRv were cared for by gastroenterologists. This highlights the need for greater attention to rare diseases in gastroenterology and emphasizes increasing awareness of ATTRv and diagnostic suspicion. Based on the experts' recommendations, a diagnosis of ATTRv should be suspected when at least one of the 'red flags' is detected. Subsequently, it is suggested to promptly ask for genetic testing and exclude a serum and urinary monoclonal protein, even before the detection of amyloid in biopsy samples, particularly in non-endemic areas.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver - (2023) vom: 16. Dez. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cappello, Maria [VerfasserIn] |
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| Links: |
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| Themen: |
Gastroenterologists |
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| Anmerkungen: |
Date Revised 17.12.2023 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.dld.2023.11.025 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM365958476 |
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| 520 | |a Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved. | ||
| 520 | |a Gastrointestinal manifestations are common across all hereditary transthyretin amyloidosis (ATTRv) genotypes. However, they are poorly specific, and their recognition as part of ATTRv is difficult, resulting in misdiagnosis with more common conditions. Moreover, delays in diagnosis occur because of fragmented knowledge, a shortage of centers of excellence and specialists dedicated to ATTRv management, and the scarce involvement of gastroenterologists in multidisciplinary teams. A group of Italian gastroenterologists with experience in the management of ATTRv took part in a project aimed at assessing the awareness of ATTRv among the community of Italian gastroenterologists through an online survey and providing education about practical aspects of ATTRv management. Survey results reported low participation, and very few patients with ATTRv were cared for by gastroenterologists. This highlights the need for greater attention to rare diseases in gastroenterology and emphasizes increasing awareness of ATTRv and diagnostic suspicion. Based on the experts' recommendations, a diagnosis of ATTRv should be suspected when at least one of the 'red flags' is detected. Subsequently, it is suggested to promptly ask for genetic testing and exclude a serum and urinary monoclonal protein, even before the detection of amyloid in biopsy samples, particularly in non-endemic areas | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Gastroenterologists | |
| 650 | 4 | |a Gastrointestinal manifestations | |
| 650 | 4 | |a Hereditary transthyretin amyloidosis | |
| 650 | 4 | |a Patients management | |
| 700 | 1 | |a Barbara, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Bellini, Massimo |e verfasserin |4 aut | |
| 700 | 1 | |a Consalvo, Danilo |e verfasserin |4 aut | |
| 700 | 1 | |a Di Sabatino, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Marasco, Giovanni |e verfasserin |4 aut | |
| 700 | 1 | |a Principi, Mariabeatrice |e verfasserin |4 aut | |
| 700 | 1 | |a Savarino, Edoardo Vincenzo |e verfasserin |4 aut | |
| 700 | 1 | |a Tortora, Annalisa |e verfasserin |4 aut | |
| 700 | 1 | |a Obici, Laura |e verfasserin |4 aut | |
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