Yıl: 2001 Cilt: 12 Sayı: 1 Sayfa Aralığı: 75 - 78 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood

Öz:
Anamnez ve klinik bulgularla birlikte tekrarlanan jejunal biyopsilerle teyid edilmiş primer intestinal lenfanjiektazi olgusu sunulmaktadır. Yüksek proteinli, orta zincir trigliserid eklenmiş, düşük yağ içeren diyetle hipoproteinemi ve kronik diyare başarılı bir şekilde tedavi edilmiştir. Olgumuzda klinikden bağımsız olarak ayrıca sol böbrek küçüklüğü ve aynı tarafta dilate üreter saptanmıştır. Bu olgu ender görüldüğü için yayınlanmaktadır
Anahtar Kelime: Biyopsi İshal Böbrek hastalıkları Üreter Çocuk Bağırsak hastalıkları

Konular: Cerrahi

Primer intestinal lenfanjiektazi: Çocukluk çağında ender görülen kronik diyare nedeni

Öz:
A case of primary intestinal lymphangiectasia which was diagnosed on the basis of multiple peroral jejunal biopsies along with a highly suggestive clinical history is presented. Treatment with a high-protein, very low fat diet with medium-chain triglycerides was effective in alleviating the diarrhea and hypoproteinemia. The patient also had a smaller than normal left kidney and a dilated ureter on the same side. This case is reported due to its rarity.
Anahtar Kelime: Child Intestinal Diseases Biopsy Diarrhea Kidney Diseases Ureter

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
  • 1) Proujansky R. Protein-losing enteropathy In: Walker WE, Durie PR, Hamilton JR, Walker-Smith JA, Watkins JB, Ed. Pediatric Gastrointestinal Disease, St Louis: Mosby Company, 1996: 971-5.
  • 2) Vardy PA, Lebenthal E, Schwachman H. Intestinal lymphangiectasia: a reappraisal. Pediatrics 1975; 55: 842-51.
  • 3) Asakura H, Miura S, Morishita T, et al. Endoscopic and histopathological study on primary and secondary intestinal lymphangiectasia. Dig Dis Sci 1981; 26: 312-20.
  • 4) Mistilis SP, Skyring AP. Intestinal lymphangiectasia, therapeutic effect of lymph venous anastomosis. Am J Med 1996; 40: 634-41.
  • 5) Hart MH, Vanderhoof JA, Antonson DL. Failure of blind small bowel biopsy in the diagnosis of intestinal lymphangiectasia. J Ped Gastroenterol Nutr 1987; 6: 803-5.
  • 6) Van der Meer SB, Forget PP, Willebrand D. Intestinal lymphangiectasia without protein loss in a child with abdominal pain. J Ped Gastroenterol Nutr 1990; 10: 246-8.
  • 7) Tift WL, Lloyd JK. Intestinal lymphangiectasia, long-term result with MCT diet. Arc Dis Child 1975; 50: 269-76.
  • 8) Edworthy SM, Fritzler MJ, Kelly JK, et al. Protein losing enteropathy in systemic lupus erythematosus associated with intestinal lymphangiectasia. Am J Gastroenterol 1990; 85:1398-402.
  • 9) Moss SF, Thomas DM, Mulnier C, et al. Intestinal lymphangiectasia associated with angiofolliculer lymph node hyperplasia (Castleman’s disease) Gut 1992; 33: 135-7.
  • 10) Öksüzoğlu G, Aygencel G, Haznedaroğlu HC, et al. Intestinal lymphangiectasia due to recurrent giardiasis. Am J Gastroenterol 1996; 91: 409-10.
  • 11) Heresbach D, Raoul JL, Genetet N, et al. Immunological study in primary intestinal lymphangiectasia. Digestion 1994; 55: 59-64.
  • 12) Bolton RP, Cotter KL, Losowky MS. Impaired neutrophil function in intestinal lymphangiectasia. J Clin Pathol 1986; 39: 876-80.
  • 13) Foster PN, Bullen AW, Robertson AF, et al. Development of impaired splenic function in intestinal lymphangiectasia. Gut 1985; 26: 861-4.
  • 14) Gutmann L, Shockcor W, Gutmann L, Kein CL. Vitamin-E deficient spino-cerebellar syndrome due to intestinal lymphangiectasia. Neurology 1986; 36: 554-6.
  • 15) Lester LA, Rothberg RM, Krantman HJ, Shermeta DW. Intestinal lymphangiectasia and bilateral pleural effusions: effect of dietary therapy and surgical intervention on immunologic and pulmonary parameters. Allerg Clin Immunol 1986; 78: 891-97.
  • 16) Lee KH, Chung JK, Lee DS, et al. Intestinal leakage of technetium-99m-MDP in primary intestinal lymphangiectasia. J Nucl Med 1996; 37: 639-41.
  • 17) Tadeka H, Takahashi T, Ajitsu S, et al. Protein-losing gastroenteropathy detected by technetium-99m-labeled human serum albumin. Am J Gastroenterol 1991; 86: 450-3.
  • 18) Mine K, Matsubayashi S, Nakai Y, Nakagawa T. Intestinal lymphangiectasia markedly improved with antiplasmin therapy. Gastroenterology 1986; 96: 1596-9.
APA DOĞANCI T, KARA F, GOKDEMIR M, Ensari A, ÖZALP S, ÇAKAR N, ATAKAN C (2001). Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. , 75 - 78.
Chicago DOĞANCI Tümay,KARA F. Nazlı,GOKDEMIR Mahmut,Ensari Arzu,ÖZALP Sıla,ÇAKAR Nilgün,ATAKAN Canan Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. (2001): 75 - 78.
MLA DOĞANCI Tümay,KARA F. Nazlı,GOKDEMIR Mahmut,Ensari Arzu,ÖZALP Sıla,ÇAKAR Nilgün,ATAKAN Canan Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. , 2001, ss.75 - 78.
AMA DOĞANCI T,KARA F,GOKDEMIR M,Ensari A,ÖZALP S,ÇAKAR N,ATAKAN C Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. . 2001; 75 - 78.
Vancouver DOĞANCI T,KARA F,GOKDEMIR M,Ensari A,ÖZALP S,ÇAKAR N,ATAKAN C Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. . 2001; 75 - 78.
IEEE DOĞANCI T,KARA F,GOKDEMIR M,Ensari A,ÖZALP S,ÇAKAR N,ATAKAN C "Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood." , ss.75 - 78, 2001.
ISNAD DOĞANCI, Tümay vd. "Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood". (2001), 75-78.
APA DOĞANCI T, KARA F, GOKDEMIR M, Ensari A, ÖZALP S, ÇAKAR N, ATAKAN C (2001). Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. Turkish Journal of Gastroenterology, 12(1), 75 - 78.
Chicago DOĞANCI Tümay,KARA F. Nazlı,GOKDEMIR Mahmut,Ensari Arzu,ÖZALP Sıla,ÇAKAR Nilgün,ATAKAN Canan Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. Turkish Journal of Gastroenterology 12, no.1 (2001): 75 - 78.
MLA DOĞANCI Tümay,KARA F. Nazlı,GOKDEMIR Mahmut,Ensari Arzu,ÖZALP Sıla,ÇAKAR Nilgün,ATAKAN Canan Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. Turkish Journal of Gastroenterology, vol.12, no.1, 2001, ss.75 - 78.
AMA DOĞANCI T,KARA F,GOKDEMIR M,Ensari A,ÖZALP S,ÇAKAR N,ATAKAN C Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. Turkish Journal of Gastroenterology. 2001; 12(1): 75 - 78.
Vancouver DOĞANCI T,KARA F,GOKDEMIR M,Ensari A,ÖZALP S,ÇAKAR N,ATAKAN C Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood. Turkish Journal of Gastroenterology. 2001; 12(1): 75 - 78.
IEEE DOĞANCI T,KARA F,GOKDEMIR M,Ensari A,ÖZALP S,ÇAKAR N,ATAKAN C "Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood." Turkish Journal of Gastroenterology, 12, ss.75 - 78, 2001.
ISNAD DOĞANCI, Tümay vd. "Primary intestinal lymphangiectasia: A rare cause of chronic diarrhea in childhood". Turkish Journal of Gastroenterology 12/1 (2001), 75-78.