The nature of white submucosal areas as was at first uncertain: on biopsy chyle was released indicating dilated lacteals or a lactocele. White tips to the intestinal villi are commonly seen but even after histological examination the cause is not always clear. Often this is due to endoscopically visible normal filled lacteals as shown. Recent ingestion of fat-containing fluids or food is the likely explanation in most cases. It may in some patients be associated with obstruction to lymphatic flow. DL without evidence of clinically significant malabsorption is not infrequently found during routine upper endoscopies
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