Abstract

CAMPOS MARTIN, C.; FERNANDEZ-ARGUELLES GARCIA, A.; RABAT RESTREPO, J. M.  and  SENDON PEREZ, A.. Sucessful dietetic-therapy in primary intestinal lymphangiectasia and recurrent chylosa ascites: a case report. Nutr. Hosp. [online]. 2007, vol.22, n.6, pp.723-725. ISSN 1699-5198.

Objectives: Primary intestinal lymphangiectasia is a lymphatic system's disorder, where lymphatic drainage is blockaged. Clinically it produces malabsorption, protein-losing enteropathy, hypogammaglobulin in blood, and several degrees of malnutrition. Its treatment is not easy and includes dietetic-therapy and drugs. Material and method: A 35-year-old-woman case report is exposed. She has recurrent chylosa ascites, requiring several admissions and evacuatory paracentesis. After food-fat was replaced by medium-chain triacylglicerol-enriched diet, a clinical, analytical and anthropometric improvement was demonstrated. Conclussions: The major way of treatment in intestinal lymphangiectasia in this case is the employement of specific-diet and adaptaded-basic-food. It's difficult and high collaboration of the patient is required, being necessary medical revisions during the whole life, due to the not well known evolution of this long-standing disease.

Keywords : Lymphangiectasia; Diet-therapy; MCT; Chylosa ascites.

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