Surgical therapy of primary XXXX in adults.

@entity1 @entity294 @entity4269 @entity29 @entity3417 @entity397 @entity395 @entity1943 @entity9676
Primary @entity9676 (PIL) is a @entity395 , especially in adults. It causes a local disruption of chylus transport and is part of the exudative gastroenteropathies. Conservative therapy includes dietary measures or @entity1943 medication. Taking the differential diagnosis of PIL into consideration is a major challenge, since @entity1 suffering from PIL may present with @entity294 and @entity4269 or @entity3417 . This can be explained by the chronic @entity29 leading to dilation of the vessels (intraluminal loss) and sometimes even to a @entity397 (peritoneal loss). Push-pull enteroscopy and capsule endoscopy are the proper interventional diagnostic tools to discover PIL. Exploratory laparoscopy may be useful in unclear cases. Surgical resection of the altered intestine has been described with positive results. Exploratory laparoscopy may even be a diagnostic tool in unclear cases. Resection of the altered intestine is a treatment option in symptomatic and treatment-refractory cases.
