Disorders of the intestinal mesenteric lymphatic system.
Identifieur interne : 00CC63 ( Main/Curation ); précédent : 00CC62; suivant : 00CC64Disorders of the intestinal mesenteric lymphatic system.
Auteurs : U. Fox [Italie] ; G. LucaniSource :
- Lymphology [ 0024-7766 ] ; 1993.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Système lymphatique.
- diagnostic : Lymphangiectasie intestinale.
- physiopathologie : Système lymphatique.
- étiologie : Lymphangiectasie intestinale, Lymphoedème.
- Humains, Jambe, Lymphangiectasie intestinale.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Lymphangiectasis, Intestinal.
- etiology : Lymphangiectasis, Intestinal, Lymphedema.
- pathology : Lymphatic System.
- physiopathology : Lymphatic System.
- therapy : Lymphangiectasis, Intestinal.
- Humans, Leg.
Abstract
Disorders of the intestinal lymphatic transport system are rare and typically associated with protein losing enteropathy (PLE). Hypoproteinemia caused by intestinal lymphangiectasia is often associated with lymphedema of the legs and occasionally with chyluria, chylometrorrhea and chylous ascites. This article examines the varied presentations of lymphangiectasia syndromes including its pathophysiology. Diagnosis is based on signs and symptoms, specific laboratory findings, and confirmed by contrast small bowel series, lymphography and best of all laparoscopy. We describe 12 patients with PLE secondary to primary intestinal lymphangiectasia (1980-1991). Treatment was non-operative (dietary) in 8 patients and surgical in 4 including segmental resections of the jejunum in two, lymphatic-mesenteric venous anastomosis in one, and peritoneal-venous (LeVeen) shunt in one with overall satisfactory results.
PubMed: 8355519
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pubmed:8355519Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>General Surgery Department, Ospedale Santa Corona, Milan, Italy.</nlm:affiliation>
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<wicri:regionArea>General Surgery Department, Ospedale Santa Corona, Milan</wicri:regionArea>
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<affiliation wicri:level="3"><nlm:affiliation>General Surgery Department, Ospedale Santa Corona, Milan, Italy.</nlm:affiliation>
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<series><title level="j">Lymphology</title>
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<imprint><date when="1993" type="published">1993</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term>
<term>Leg</term>
<term>Lymphangiectasis, Intestinal (diagnosis)</term>
<term>Lymphangiectasis, Intestinal (etiology)</term>
<term>Lymphangiectasis, Intestinal (therapy)</term>
<term>Lymphatic System (pathology)</term>
<term>Lymphatic System (physiopathology)</term>
<term>Lymphedema (etiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term>
<term>Jambe</term>
<term>Lymphangiectasie intestinale ()</term>
<term>Lymphangiectasie intestinale (diagnostic)</term>
<term>Lymphangiectasie intestinale (étiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Système lymphatique (anatomopathologie)</term>
<term>Système lymphatique (physiopathologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Système lymphatique</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphangiectasis, Intestinal</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphangiectasie intestinale</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphangiectasis, Intestinal</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic System</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Système lymphatique</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphatic System</term>
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<front><div type="abstract" xml:lang="en">Disorders of the intestinal lymphatic transport system are rare and typically associated with protein losing enteropathy (PLE). Hypoproteinemia caused by intestinal lymphangiectasia is often associated with lymphedema of the legs and occasionally with chyluria, chylometrorrhea and chylous ascites. This article examines the varied presentations of lymphangiectasia syndromes including its pathophysiology. Diagnosis is based on signs and symptoms, specific laboratory findings, and confirmed by contrast small bowel series, lymphography and best of all laparoscopy. We describe 12 patients with PLE secondary to primary intestinal lymphangiectasia (1980-1991). Treatment was non-operative (dietary) in 8 patients and surgical in 4 including segmental resections of the jejunum in two, lymphatic-mesenteric venous anastomosis in one, and peritoneal-venous (LeVeen) shunt in one with overall satisfactory results.</div>
</front>
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