Intestinal lymphangiectasia is a rare disorder in which the lymphatic vessels of the small intestine become dilated, obstructed, or leaky. Normally these vessels carry fats, proteins, and immune cells into the bloodstream. In IL, lymph fluid seeps into the gut lumen, leading to fat and protein malabsorption, fluid loss, and nutrient deficiencies.
Symptoms often relate to poor nutrient absorption and fluid shifts:
IL may be primary (present from birth) or secondary (developed later). Common causes include:
If you're experiencing symptoms of intestinal lymphangiectasia or need specialized digestive care, our Cypress team is here to help. At GastroDoxs, we combine expert diagnostics with personalized treatment plans to restore your health and quality of life. Call us at 832-632-4070 or book your appointment online today to get started on your path to better well-being.
We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.
Diagnosis typically involves blood tests to check protein and albumin levels, stool tests for fat malabsorption, imaging studies (ultrasound, CT or MRI) to visualize lymphatic enlargement, and specialized chemistry panels to confirm lymph leakage.
Yes. Intestinal lymphangiectasia can present in infancy or childhood, often with symptoms like peripheral swelling, chronic diarrhea, poor weight gain, and recurrent infections. Early recognition and dietary management are essential for healthy growth.
Chronic duodenitis can damage lymphatic vessels in the small intestine, leading to secondary lymphangiectasia. Treating underlying duodenal inflammation helps prevent further lymph vessel injury and symptom progression.
While advanced cases may be associated with liver complications-such as portal hypertension due to chronic protein loss-overt liver failure is rare. Regular monitoring of liver function helps detect and manage any issues early.
A low-fat, high-protein diet reduces lymph flow and protein loss. Supplementation with medium-chain triglyceride (MCT) oil provides easily absorbed calories without overloading lymphatics, aiding in symptom control and nutritional status.
Yes. Octreotide can decrease lymphatic flow and reduce protein loss, while diuretics help manage edema. Additional vitamin and mineral supplements correct deficiencies caused by malabsorption.
Surgery is rarely needed but may be considered for localized lymphatic leaks or obstructions that do not respond to dietary and medical therapy. A specialist evaluation determines if surgical intervention is appropriate.
Follow-up visits are generally scheduled every 3-6 months to monitor protein levels, nutritional status, and symptom control. Frequency may increase during treatment adjustments or flare-ups.
Without proper management, complications can include recurrent infections (due to protein and immunoglobulin loss), osteoporosis from vitamin D deficiency, chronic malnutrition, and electrolyte imbalances. Early intervention reduces these risks.
Contact GastroDoxs in Cypress to schedule a consultation with our gastroenterologists experienced in managing intestinal lymphangiectasia. We offer personalized diet plans, advanced diagnostics, and long-term support close to home.
