Intestinal lymphangiectasia secondary to radiotherapy and chemotherapy

S. S.C. Rao, S. Dundas, C. D. Holdsworth

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)939-942
Number of pages4
JournalDigestive Diseases and Sciences
Volume32
Issue number8
DOIs
StatePublished - Aug 1987

Keywords

  • chemotherapy
  • intestinal lymphanglectasia
  • radiotherapy

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

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