Endoscopic classification and pathological features of primary intestinal lymphangiectasia
作者机构：Department of GastroenterologyBeijing Shijitan HospitalCapital Medical UniversityBeijing 100038China Department of Respiratory and Critical Care MedicineBeijing Shijitan HospitalCapital Medical UniversityBeijing 100038China Departments of Lymphatic SurgeryBeijing Shijitan HospitalCapital Medical UniversityBeijing 100038China Departments of RadiologyBeijing Shijitan HospitalCapital Medical UniversityBeijing 100038China Departments of PathologyBeijing Shijitan HospitalCapital Medical UniversityBeijing 100038China
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2022年第28卷第22期
页 面：2482-2493页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：Supported by National Natural Science Foundation of China,No.61876216 Beijing Shijitan Hospital Foundation of Capital Medical University,No.2019-LB12
主 题：Primary intestinal lymphangiectasia Endoscopic features Post-lymphangiographic computed tomography Pathology
摘 要：BACKGROUND The appearance of the intestinal mucosa during endoscopy varies among patients with primary intestinal lymphangiectasia(PIL).AIM To classify the endoscopic features of the intestinal mucosa in PIL under endoscopy,combine the patients’imaging and pathological characteristics of the patients,and explain their *** We retrospectively analyzed the endoscopic images of 123 patients with PIL who were treated at the hospital between January 1,2007 and December 31,*** compared and analyzed all endoscopic images,classified them into four types according to the endoscopic features of the intestinal mucosa,and analyzed the post-lymphographic computed tomography(PLCT)and pathological characteristics of each *** According to the endoscopic features of PIL in 123 patients observed during endoscopy,they were classified into four types:nodular-type,granular-type,vesicular-type,and *** showed diffuse thickening of the small intestinal wall,and no contrast agent was seen in the small intestinal wall and mesentery in the patients with nodular and granular *** agent was scattered in the small intestinal wall and mesentery in the patients with vesicular and edematous *** of the small intestinal mucosal pathology revealed that nodular-type and granulartype lymphangiectasia involved the small intestine mucosa in four layers,whereas ectasia of the vesicular-and edematous-type lymphatic vessels largely involved the lamina propria mucosae,submucosae,and muscular *** Endoscopic classification,combined with the patients’clinical manifestations and pathological examination results,is significant and very useful to clinicians when scoping patients with suspected PIL.
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