Document Detail

Therapeutic management of neonatal chylous ascites: report of a case and review of the literature.
MedLine Citation:
PMID:  20377539     Owner:  NLM     Status:  MEDLINE    
CONCLUSION: Medium-chain triglycerides (MCT)-based diet can be tried as a first option in chylous ascites treatment. In resistant or unresponsive cases, somatostatin along with TPN can have use in closing the lymphatic leakage or relieving the symptoms effectively and rapidly. Conventional regimens including enteral feeding with MCT-based formula can then be re-administered as a maintenance treatment after reduction of lymph flow with the use of total parenteral nutrition (TPN) and somatostatin infusion combination. Patient-specific approach should be attempted for chylous ascites caused by various disorders and started as soon as possible.
Belma Saygili Karagol; Aysegul Zenciroglu; Selim Gokce; Ahmet Afsin Kundak; Mehmet Sah Ipek
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  99     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-12     Completed Date:  2011-02-02     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1307-10     Citation Subset:  IM    
Copyright Information:
© 2010 The Author(s)/Journal Compilation © 2010 Foundation Acta Paediatrica.
Sami Ulus Maternity, Childrens' Education and Research Hospital, Division of Neonatology, Ankara, Turkey.
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MeSH Terms
Chylous Ascites / congenital*,  diagnosis,  therapy*
Diet, Fat-Restricted
Enteral Nutrition / methods*
Gastrointestinal Agents / administration & dosage,  therapeutic use*
Infant Formula
Infant, Newborn
Octreotide / administration & dosage,  therapeutic use*
Parenteral Nutrition, Total
Somatostatin / administration & dosage,  analogs & derivatives,  therapeutic use
Triglycerides / administration & dosage,  therapeutic use*
Reg. No./Substance:
0/Gastrointestinal Agents; 0/Triglycerides; 51110-01-1/Somatostatin; 83150-76-9/Octreotide
Comment In:
Acta Paediatr. 2010 Sep;99(9):1284   [PMID:  20500730 ]

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