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  • Title: Endoscopic diagnosis of primary intestinal lymphangiectasia using a high-fat meal.
    Author: Veldhuyzen van Zanten SJ, Bartelsman JF, Tytgat GN.
    Journal: Endoscopy; 1986 May; 18(3):108-10. PubMed ID: 3720681.
    Abstract:
    The case of a 17-year-old woman is described, in whom a suspected diagnosis of primary intestinal lymphangiectasia was confirmed endoscopically and histologically only after a high-fat meal had been given the night before the procedure. A characteristic endoscopic finding was the appearance of tiny white dots scattered in the duodenum and jejunum, which on histological examination proved to be dilated lymph vessels. Treatment with low-fat diet and MCT-supplementation was successful.
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