ASGE DDW Videos from Around the World | 2025-ISOLATED INTESTINAL LYMPHATIC ANOMALY UNDERWATER ENDOSCOPIC IDENTIFICATION AND THERAPEUTIC INTERVENTION

ISOLATED INTESTINAL LYMPHATIC ANOMALY UNDERWATER ENDOSCOPIC IDENTIFICATION AND THERAPEUTIC INTERVENTION

Video Transcription

Video Summary

A 12-month-old with protein-losing enteropathy, initially considered to be caused by primary intestinal lymphangiectasia, underwent an innovative underwater endoscopic procedure. The patient, previously experiencing severe edema and diarrhea, underwent combined imaging and endoscopy, revealing lymphatic leakage in the duodenum. Traditional treatments had been ineffective, but underwater endoscopic visualization identified a singular lymphatic leak. After treatment with silver probe cautery and argon beam, the patient showed significant clinical improvement and normalization of biochemical markers post-procedure. This case highlights the potential of underwater endoscopic techniques in diagnosing and treating isolated intestinal lymphatic leaks.

Asset Subtitle

Ashley Polachek

Keywords

underwater endoscopy

protein-losing enteropathy

intestinal lymphangiectasia

lymphatic leakage

endoscopic treatment