Chyle Health Dictionary

The passage of CHYLE in the urine. This results in the passing of a milky-looking urine. It is one of the manifestations of FILARIASIS, where it is due to obstruction of the LYMPHATICS by the causative parasite.... chyluria

Partly digested food as it issues from the stomach into the intestine. It is very acid and grey in colour, containing salts and sugars in solution, and the animal food softened into a semi-liquid mass. It is next converted into CHYLE.... chyme

A lymphatic vessel that transmits CHYLE from the INTESTINE. (See also LYMPH.)... lacteal

Lymph is the ?uid which circulates in the lymphatic vessels of the body. It is a colourless ?uid, like blood PLASMA in composition, only rather more watery. It contains salts similar to those of blood plasma, and the same proteins, although in smaller amount: FIBRINOGEN, serum albumin (see ALBUMINS), and serum GLOBULIN. It also contains lymphocytes (white blood cells), derived from the glands. In some lymphatic vessels, the lymph contains, after meals, a great amount of FAT in the form of a ?ne milky emulsion. These are the vessels which absorb fat from the food passing down the INTESTINE, and convey it to the thoracic duct; they are called lacteals because their contents look milky (see CHYLE).

The lymph is derived, initially, from the blood, the watery constituents of which exude through the walls of the CAPILLARIES into the tissues, conveying material for the nourishment of the tissues and absorbing waste products.

The spaces in the tissues communicate with lymph capillaries, which have a structure similar to that of the capillaries of the blood-vessel system, being composed of delicate ?at cells joined edge to edge. These unite to form ?ne vessels, resembling minute veins in structure, called lymphatics, which ramify throughout the body, passing through lymphatic glands and ultimately discharging their contents into the jugular veins in the root of the neck. Other lymph vessels commence in great numbers as minute openings on the surface of the PLEURA and PERITONEUM, and act as drains for these otherwise closed cavities. When ?uid is e?used into these cavities – as in a pleural e?usion, for example – its absorption takes place through the lymphatic vessels. The course of these vessels is described under the entry on GLAND.

Lymph circulates partly by reason of the pressure at which it is driven through the walls of the blood capillaries, but mainly in consequence of incidental forces. The lymph capillaries and vessels are copiously provided with valves, which prevent any back ?ow of lymph, and every time these vessels are squeezed (as by the contraction of a muscle, or movement of a limb) the lymph is pumped along.

The term lymph is also applied to the serous ?uid contained in the vesicles which develop as the result of vaccination, and used for the purpose of vaccinating other individuals.... lymph

This is a distensible, sac-like organ with an average adult capacity of 1·5 litres situated in the upper abdomen. It is positioned between the OESOPHAGUS and DUODENUM, lying just beneath the DIAPHRAGM to the right of the SPLEEN and partly under the LIVER. The stomach is a part of the gastrointestinal tract with its walls formed of layers of longitudinal and circular muscles and lined by glandular cells that secrete gastric juice. It is well supplied with blood vessels as well as nerves from the autonomic system which enter via the phrenic nerve. The exit of the stomach is guarded by a ring of muscle called the pyloric sphincter which controls the passage of food into the duodenum.

Function As well as the stomach’s prime role in physically and physiologically breaking down the food delivered via the oesophagus, it also acts as a storage organ – a function that enables people to eat three or four times a day instead of every 30 minutes or so as their metabolic needs would otherwise demand. Gastric secretion is stimulated by the sight and smell of food and its subsequent arrival in the stomach. The secretions, which contain mucus and hydrochloric acid (the latter produced by parietal cells), sterilise the food; pepsin, a digestive ENZYME in the gastric juices, breaks down the protein in food. The juices also contain intrinsic factor, vital for the absorption of vitamin B12 when the chyle – as the stomach contents are called – reaches the intestine. This chyle is of creamy consistency and is the end product of enzymic action and rhythmic contractions of the stomach’s muscles every 30 seconds or so. Food remains in the stomach for varying lengths of time depending upon its quantity and nature. At regular intervals a bolus of chyle is forced into the duodenum by contractions of the stomach muscles coordinated with relaxation of the pyloric sphincter.... stomach

n. a disease, common in the tropics and subtropics, caused by the presence in the lymph vessels of the parasitic nematode worms Wuchereria bancrofti and Brugia malayi (see filaria). The worms, which are transmitted to humans by various mosquitoes (including Aëdes, Culex, Anopheles, and Mansonia), bring about inflammation and eventual blocking of lymph vessels, which causes the surrounding tissues to swell (see elephantiasis). The rupture of urinary lymphatics may lead to the presence of *chyle in the urine. Filariasis is treated with the drug *diethylcarbamazine.... filariasis

(hydroperitoneum) n. the accumulation of fluid in the peritoneal cavity, causing abdominal swelling. Causes include infections (such as tuberculosis), heart failure, *portal hypertension, *cirrhosis, and various cancers (particularly of the ovary and liver): the presence of malignant cells in the fluid, revealed by cytological examination, is usually evidence of secondary spread. Obstruction to the drainage of lymph from the abdomen results in chylous ascites (see chyle). Pancreatic ascites, due to direct communication between the pancreatic duct and the peritoneal cavity, usually following trauma or severe pancreatitis, is diagnosed by very high amylase levels in aspirated ascitic fluid. Treatment includes diuretics and ascitic drainage (paracentesis) if there is associated respiratory distress. See also oedema.... ascites