乳糜
WordNet
- a milky fluid consisting of lymph and emulsified fats; formed in the small intestine during digestion of ingested fats
- relating to or consisting of or producing or resembling milk; "lacteal fluids"; "lacteal organs"
- any of the lymphatic vessels that convey chyle from the small intestine to the thoracic duct
- of or relating to or in the manner of Aeschylus
PrepTutorEJDIC
- 乳の,乳状の;乳からできている
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2012/09/17 03:29:35」(JST)
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Chyle (from the Greek word chylos, meaning juice[1]) is a milky bodily fluid consisting of lymph and emulsified fats, or free fatty acids (FFAs). It is formed in the small intestine during digestion of fatty foods, and taken up by lymph vessels specifically known as lacteals. The relative low pressure of the lacteals allows large fatty acid molecules to diffuse into them, whereas the higher pressure in veins allows only smaller products of digestion, like amino acids and sugars, to diffuse into the blood directly.[2][3]
Contents
- 1 Pathology
- 2 See also
- 3 References
- 4 External links
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Pathology
A chyle fistula is a leakage of lymphatic fluid from the lymphatic vessels, typically accumulating in the thoracic or abdominal cavities,[4] possibly leading to a chylothorax or chylous ascites, respectively.
Treatment of a chyle fistula relies on ligation of the duct. This is because direct repair is impractical owing to the extreme friability of the thoracic duct.
An alternative treatment is the subcutaneous use of the drug octreotide (a synthetic analogue of somatostatin). This can lead to complete resolution of production of chyle, and avoids the need for surgery.[5]
See also
References
See also: chylomicron
- ^ Mosby’s Medical, Nursing and Allied Health Dictionary, Fourth Edition, Mosby-Year Book Inc., 1994, p. 335
- ^ Magendie, Par F. Elementary Treatise on Human Physiology originally published in French 1838, translated into English and published 1855 by Harper Brothers, New York
- ^ Lipid Transport and Digestion
- ^ Tessier, Deron J , MD, Chyle fistula eMedicine; Jan 10, 2008; accessed Feb 2008
- ^ Mincher L, Evans J, Jenner MW, Varney VA. The successful treatment of chylous effusions in malignant disease with octreotide. Clinical Oncology. 2005 Apr;17(2):118-21. [1]
External links
UpToDate Contents
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English Journal
- Surgical complications after robotic thyroidectomy for thyroid carcinoma: a single center experience with 3,000 patients.
- Ban EJ1, Yoo JY, Kim WW, Son HY, Park S, Lee SH, Lee CR, Kang SW, Jeong JJ, Nam KH, Chung WY, Park CS.
- Surgical endoscopy.Surg Endosc.2014 Sep;28(9):2555-63. doi: 10.1007/s00464-014-3502-1. Epub 2014 Mar 20.
- BACKGROUND: Robotic thyroidectomy (RT), a new gasless, transaxillary approach developed by the Yonsei University group in Seoul, Korea, eliminates the need for a cervical incision. Since RT is technically complex and has a steep learning curve, the surgical complication rate may initially be higher
- PMID 24648108
- Lymphoscintigraphic demonstration of chyle leak after kidney transplantation and gamma camera detection of radioactivity in chylous aspirate.
- Oh JK1, Yoon HE, Chung YA.
- Clinical nuclear medicine.Clin Nucl Med.2014 Aug;39(8):760-1. doi: 10.1097/RLU.0000000000000482.
- Iatrogenic chyle leak with chyloma formation is a rare complication of kidney transplantation resulting from injury to the lymphatics. We present a case of a 53-year-old man who complained of right leg swelling 2 months after kidney transplantation for chronic renal failure. Abdomen CT showed locula
- PMID 24978330
- Minimal Lymphatic Leakage in an Infant With Chylothorax Detected by Lymphoscintigraphy SPECT/CT.
- Yang J1, Codreanu I2, Zhuang H3.
- Pediatrics.Pediatrics.2014 Aug;134(2):e606-10. doi: 10.1542/peds.2013-2689.
- A 7-month-old girl with history of persistent left chylous pleural effusion was referred for lymphoscintigraphy. A previous chest computed tomography (CT) scan demonstrated a small to moderate-sized left pleural effusion but could not identify the lymphatic leakage site. Lymphoscintigraphy using fil
- PMID 25070312
Japanese Journal
- 内科的治療が奏功せず外科的治療を必要とした生後2カ月の乳縻胸の一例
- 加地 真理子/坂内 優子/吉井 啓介/関 亜希子/谷 諭美/岸 崇之/世川 修/大澤 眞木子
- 東京女子医科大学雑誌 83(E1), E366-E370, 2013-01-31
- 【はじめに】乳縻胸は乳糜が胸管から胸腔内に逸脱して生じる。小児では稀な疾患であり、新生児期および縦隔手術後に比較的多く報告されているが、単独の報告が多く、治療法も様々である。乳縻胸と診断され、内科的治療が奏功せず、外科的治療を要した症例を経験したため報告する。,【症例】生後2か月の女児。主訴:体重増加不良、既往歴:在胎39週で仮死なく出生。現病歴:1ヶ月検診では体重増加不良を指摘されていた。受診時 …
- NAID 110009559387
- A case of multiple lymphocysts on the diaphragm
- 水谷 栄基,森田 理一郎,國光 多望
- 日本呼吸器外科学会雑誌 26(7), 768-771, 2012
- … The tumor masses were five cystic lesions with consecutive capsules that were pedunculated from the diaphragm pleura, and, internally, they contained a white suspension believed to be a chyle constituent and a white substance that appeared to be necrosed. … Moreover, a small amount of chyle pleural effusion was observed. …
- NAID 130003346070
- Chyloptysis after Ligation of the Thoracic Duct
- Kato Shinpei,Umezawa Hiroki,Yano Toshiaki,Ogasawara Takashi,Kasamatsu Norio,Hashizume Ikko
- Internal Medicine 51(17), 2403-2406, 2012
- Chyloptysis is a very rare clinical finding. We describe a 44-year-old man who presented with cough and milky-white sputum. Fiberoptic bronchoscopy revealed white sputum, which originated from the rig …
- NAID 130002062348
Related Links
- chyleとは。意味や和訳。[名][U]《生理学》乳糜(にゅうび).chy・lous[形] - goo辞書は国語、英和、和英、中国語、百科事典等からまとめて探せる辞書検索サービスです。 ... gooのお知らせ gooヘルスケア「おもいやり食堂」 8月のおもいやり ...
- noun a milky fluid containing emulsified fat and other products of digestion, formed from the chyme in the small intestine and conveyed by the lacteals and the ... chyle (kaɪl) —n a milky fluid composed of lymph and emulsified fat ...
Related Pictures
★リンクテーブル★
[★]
- 関
- chyle、chylous
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- 英
- chyle
- 英
- chyle
- 関
- 乳糜管、乳び性、乳び管、リンパ
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- 関
- chyle、lacteal