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KMID : 0816119990020010093
Korean Journal of Pediatric Gastroenterolology and Nutrition
1999 Volume.2 No. 1 p.93 ~ p.98
Endoscopic Diagnosis of Primary Intestinal Lymphangiectasia Using a High-fat Meal in a 20-Month-Old Boy
Kwon Woo-Hyun

Hwang Jin-Bok
Kim Yong-Jin
Lee Young-Hwan
Abstract
We experienced a case of primary intestinal lymphangiectasia in a 20-month-old boy,
which was confirmed gastrofiberscopically and histologically only after a high-fat meal
before the procedure. A characteristic endoscopic finding was the appearance of tiny
white dots scattered in the duodenal mucosa, which were proved dilated lymph vessels
in the lamina propria on histological examination. Treatment with low-fat diet and
medium chain triglycerides supplementation was satisfactory.
KEYWORD
High-fat meal, Gastrofiberscopic, Primary intestinal lymphangiectasia,
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