Intestinal lymphangiectasia secondary to radiotherapy and chemotherapy
We report a case of intestinal lymphangiectasia secondary to radiotherapy and chemotherapy. The patient also had small bowel bacterial overgrowth and pancreatic insufficiency. Lymphatic ectasia as a histological feature has been described previously in association with postradiotherapy malabsorption, but radiation-induced lymphangiectasia producing clinical manifestations has hitherto not been reported. Replacement of dietary long-chain fats with medium-chain triglycerides, pancreatic enzyme supplements, and a short course of oxytetracycline, resulted in dramatic clinical improvement. The possibility of intestinal lymphangiectasia should be borne in mind in patients with postradiotherapy malabsorption. A low serum albumin and lymphocyte count should draw attention to this possibility.
- Research Organization:
- Gastroenterology Unit, Sheffield, England
- OSTI ID:
- 6368119
- Journal Information:
- Dig. Dis. Sci.; (United States), Vol. 32:8
- Country of Publication:
- United States
- Language:
- English
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