Lymph nodo-venous shunt in the treatment of protein losing enteropathy and lymphedema of leg and scrotum.
Protein Losing Enteropathy (PLE) is a syndrome associated with several diseases affecting the gastrointestinal system. Recent comprehensive reviews can be found in eMedicine and Gastroenterology. Treatment by surgery, lympho-venous anastomosis, excision of lymphangiectatic small bowel and gastrectomy and transplantation of the small intestine, depending upon the cause, have all been reported. We obtained a successful result for PLE associated with peripheral lymphedema by combining several sequential operative approaches including lymph nodo- venous shunt in the groin and reduction surgery for edema of the left leg and scrotum.
Jamal
S
S
Surya Medical Centre, Department of Plastic Surgery, Medical College, Thanjavur, India. dr.jamal@yahoo.com
D000328:Adult; D000714:Anastomosis, Surgical; D001458:Bandages; D006801:Humans; D007866:Leg / Q000473:pathology / Q000601:surgery*; D008201:Lymphangiectasis, Intestinal / Q000209:etiology; D008209:Lymphedema / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D008297:Male; D011504:Protein-Losing Enteropathies / Q000150:complications* / Q000473:pathology; D012611:Scrotum / Q000473:pathology / Q000601:surgery*