title: Secondary lymphangiectasia of the small bowel: utility of double balloon enteroscopy for diagnosis and management.
abstract: Sporadic lymphangiectasias are commonly found throughout the small bowel and are considered to be normal. Not uncommonly, lymphangiectasias are pathologic and can lead to mid-gastrointestinal bleeding, abdominal pain and protein-losing enteropathy. Pathologic lymphangiectasias of the small bowel include primary lymphangiectasia, secondary lymphangiectasia and lymphaticovenous malformations. In this report we present three different cases of small bowel lymphangiectasia detected by double balloon enteroscopy. The patients were diagnosed with South American blastomycosis, tuberculosis and primary small bowel lymphangioma.
authors.affiliation: Gastrointestinal Endoscopy Unit, Department of Gastroenterology, University of São Paulo, São Paulo, Brazil. adrisafatleribeiro@terra.com.br
authors.forename: Adriana Vaz
authors.initials: AV
authors.lastname: Safatle-Ribeiro
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Iriya
authors.forename: Décio Sampaio
authors.initials: DS
authors.lastname: Couto
authors.forename: Fábio Shiguehiss
authors.initials: FS
authors.lastname: Kawaguti
authors.forename: Felipe
authors.initials: F
authors.lastname: Retes
authors.forename: Ulysses
authors.initials: U
authors.lastname: Ribeiro
authors.forename: Paulo
authors.initials: P
authors.lastname: Sakai
mesh_terms: D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000473:pathology; D006801:Humans; D007414:Intestinal Neoplasms / Q000473:pathology; D007421:Intestine, Small / Q000473:pathology; D008200:Lymphangiectasis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D008202:Lymphangioma / Q000150:complications / Q000473:pathology; D008297:Male