Secondary Lymphangiectasia of the Small Bowel: Utility of Double Balloon Enteroscopy for Diagnosis and Management

Safatle‐Ribeiro, Adriana Vaz; Iriya, Kiyoshi; Couto, D; Kawaguti, Fábio Shiguehiss; Retes, Felipe Alves; Ribeiro, Ulysses; Sakai, Paulo

doi:10.1159/000177027

Cited by 20 publications

(4 citation statements)

References 35 publications

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“…7,8 Repeatedly, the role of endoscopy has been proven useful. 9 Small bowel enteroscopy not only helps detect mucosal changes suggestive of the disease but also allows acquisition of histologic samples to establish a diagnosis. 9,10 changes suggestive of the disease includes White villi and/or spots (dilated lacteals), white nodules, and submucosal elevations are observed.…”

Section: Discussionmentioning

confidence: 99%

Intestinal lymphangiectasia: case report

Aljohnei

Alani

2019

Int J Adv Med

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Primary intestinal lymphangiectasia (PIL) was first described by Waldmann et al, in 1961. PIL is a rare disease with several hundred reported cases. It is rarely reported in adults because it is presumably a congenital disorder and when present in adults it typically produces a long duration of manifestation such as diarrhea, abdominal distention from ascites, and peripheral edema. This disorder is characterized by markedly dilated intestinal lymphatics, hypoproteinemia, generalized edema, lymphocytopenia hypogammaglobinemia, and immunologic anomalies. The loss of protein into the from dilated intestinal lymphatics leads to the development of hypoproteinemia in these patients and its demonstration is important in the diagnosis of intestinal lymphangiectasia. The disease can be secondary to congenital, secondary or idiopathic defects in the formation of the lymphatic ducts. In the present report, we describe a case of 15 years old female presented to our hospital with history of generalized edema, bilateral hand spasm, and diarrhea. Endoscopy of the patient revealed White spots (dilated lacteals), white nodules, and submucosal elevations were observed. Changes suggestive of the disease includes White villi and/or spots (dilated lacteals), white nodules, and submucosal elevations are observed. Xanthomata’s plaques are often visualized, there are no specific treatments for patients with PIL. treatment of patients with primary intestinal lymphangiectasia involves control of symptoms with the use of dietary, pharmaceutical, and behavioral modifications.

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Section: Discussionmentioning

confidence: 99%

Intestinal lymphangiectasia: case report

Aljohnei

Alani

2019

Int J Adv Med

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“…Endoscopically, the lesions appear as whitish elevated cystic lesions. Although lymphangiomas are benign neoplasms, they can cause severe bleeding ( 49 , 50 ) ( Figure 2C ).…”

Section: Benign Tumorsmentioning

confidence: 99%

Impact of enteroscopy on diagnosis and management of small bowel tumors

Safatle‐Ribeiro

Ribeiro

2020

Chinese Journal of Cancer Research

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Small bowel tumors (SBTs) have been increasingly diagnosed in recent decades. The pathogenesis of this increment is largely unknown, but advances in radiological and endoscopic methods facilitate the improvement of the diagnosis. Capsule endoscopy (CE) and device-assisted enteroscopy (DAE) allow the clinician to assess the entire small bowel in the search for suspicious lesions, or a cause of symptoms. In this review, we discuss the role of enteroscopy, techniques and strategies in the diagnosis and management of SBTs, and a brief description of the most common tumors.

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“…Gastrointestinal tract symptoms on presenta-tion are seldom described [3,4]. In this case of disseminated cryptococcosis in an immunocompetent, non-HIV patient, DBE was valuable in diagnosing and managing the small-bowel involvement [5]. This document was downloaded for personal use only.…”

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confidence: 99%

Small-bowel cryptococcosis diagnosed by double-balloon endoscopy in patient without human immunodeficiency virus

et al. 2020

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Fig. 2 Hematoxylin and eosin staining showed lymphomononuclear infiltrate, with traces of granuloma and round organisms. ▶ Fig. 3 Staining was suggestive of Cryptococcus neoformans. a Mucicarmine staining revealed the presence of the organism's mucopolysaccharide capsule (in pink). b Grocott staining highlighted the fungal cell wall (in black). ▶ Fig. 4 Double-balloon endoscopy demonstrated reduction of the lymphatic cystic lesions after 1 year of treatment.

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Secondary Lymphangiectasia of the Small Bowel: Utility of Double Balloon Enteroscopy for Diagnosis and Management

Cited by 20 publications

References 35 publications

Intestinal lymphangiectasia: case report

Intestinal lymphangiectasia: case report

Impact of enteroscopy on diagnosis and management of small bowel tumors

Small-bowel cryptococcosis diagnosed by double-balloon endoscopy in patient without human immunodeficiency virus

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