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Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports

RATIONALE: Intestinal lymphangiectasia (IL) is a rare enteropathy involving the expansion and rupture of intestinal lymphatic channels. Although several reports have studied cases of primary IL (PIL), this condition is very rare, and is even less commonly encountered in infants. This study aimed to...

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Autores principales: Li, Suyun, Liu, Xiaoqian, He, Yuan, Li, Qianyu, Ji, Linlin, Shen, Wenbin, Tong, Guansheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758182/
https://www.ncbi.nlm.nih.gov/pubmed/29390480
http://dx.doi.org/10.1097/MD.0000000000009240
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author Li, Suyun
Liu, Xiaoqian
He, Yuan
Li, Qianyu
Ji, Linlin
Shen, Wenbin
Tong, Guansheng
author_facet Li, Suyun
Liu, Xiaoqian
He, Yuan
Li, Qianyu
Ji, Linlin
Shen, Wenbin
Tong, Guansheng
author_sort Li, Suyun
collection PubMed
description RATIONALE: Intestinal lymphangiectasia (IL) is a rare enteropathy involving the expansion and rupture of intestinal lymphatic channels. Although several reports have studied cases of primary IL (PIL), this condition is very rare, and is even less commonly encountered in infants. This study aimed to investigate the nutritional therapy and effect assessment of chylous reflux disorder caused by PIL in infants. PATIENT CONCERNS: Infantile patients were enrolled in the Affiliated Beijing Shijitan Hospital of the Capital Medical University between January 2012 and March 2014. The minimum age of onset was 4 months and the maximum age of onset was 16 months, with an average age of 4.9 months. DIAGNOSES: All children were inpatient who had been diagnosed with chylous reflux syndrome (chylothorax and/or chylic abdomen) caused by PIL. INTERVENTIONS: Retrospective analysis and individualized nutrition therapy of these cases were carried out. Finally, nutritional therapy and prognosis of PIL were assessed and summarized. OUTCOMES: All the children survived, showed improvement in the serum total protein, albumin, and HGB levels after nutritional therapy. After comprehensive nutritional therapy, we were able to achieve diarrhea control for all the 9 patients, and after treatment, the children passed soft, yellow stools 1 to 2 times/d. After treatment, the height and weight of all patients increased to within the normal ranges of the World Health Organization standard chart. The mean serum albumin level reached 41.3 g/L. All nutrition-related indicators were found to have significant improvement compared with the baseline levels. LESSONS: The results revealed that nutritional therapy for the 9 children with PIL was effective, and it may be able to improve the clinical syndromes and symptoms of children with PIL and promote recovery.
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spelling pubmed-57581822018-01-29 Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports Li, Suyun Liu, Xiaoqian He, Yuan Li, Qianyu Ji, Linlin Shen, Wenbin Tong, Guansheng Medicine (Baltimore) 4500 RATIONALE: Intestinal lymphangiectasia (IL) is a rare enteropathy involving the expansion and rupture of intestinal lymphatic channels. Although several reports have studied cases of primary IL (PIL), this condition is very rare, and is even less commonly encountered in infants. This study aimed to investigate the nutritional therapy and effect assessment of chylous reflux disorder caused by PIL in infants. PATIENT CONCERNS: Infantile patients were enrolled in the Affiliated Beijing Shijitan Hospital of the Capital Medical University between January 2012 and March 2014. The minimum age of onset was 4 months and the maximum age of onset was 16 months, with an average age of 4.9 months. DIAGNOSES: All children were inpatient who had been diagnosed with chylous reflux syndrome (chylothorax and/or chylic abdomen) caused by PIL. INTERVENTIONS: Retrospective analysis and individualized nutrition therapy of these cases were carried out. Finally, nutritional therapy and prognosis of PIL were assessed and summarized. OUTCOMES: All the children survived, showed improvement in the serum total protein, albumin, and HGB levels after nutritional therapy. After comprehensive nutritional therapy, we were able to achieve diarrhea control for all the 9 patients, and after treatment, the children passed soft, yellow stools 1 to 2 times/d. After treatment, the height and weight of all patients increased to within the normal ranges of the World Health Organization standard chart. The mean serum albumin level reached 41.3 g/L. All nutrition-related indicators were found to have significant improvement compared with the baseline levels. LESSONS: The results revealed that nutritional therapy for the 9 children with PIL was effective, and it may be able to improve the clinical syndromes and symptoms of children with PIL and promote recovery. Wolters Kluwer Health 2017-12-22 /pmc/articles/PMC5758182/ /pubmed/29390480 http://dx.doi.org/10.1097/MD.0000000000009240 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 4500
Li, Suyun
Liu, Xiaoqian
He, Yuan
Li, Qianyu
Ji, Linlin
Shen, Wenbin
Tong, Guansheng
Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports
title Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports
title_full Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports
title_fullStr Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports
title_full_unstemmed Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports
title_short Nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: Case reports
title_sort nutritional therapy and effect assessment of infants with primary intestinal lymphangiectasia: case reports
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758182/
https://www.ncbi.nlm.nih.gov/pubmed/29390480
http://dx.doi.org/10.1097/MD.0000000000009240
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