Document Detail


The use of fat-free human milk in infants with chylous pleural effusion.
MedLine Citation:
PMID:  17554391     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study is to describe the processing of human milk to remove its fat content and its use in seven infants with chylothorax. STUDY DESIGN: The mother's milk was centrifuged at 3000 r.p.m. for 15 min at 2 degrees C. After centrifugation, the milk separated into a solidified-fat top layer and a lower liquid portion. The fat-free liquid portion was then poured into collection cups and frozen for the patient's use at a later date. A sample of the mother's milk before and after processing was stored and analyzed for fat, sodium, potassium, calcium and zinc. RESULTS: The mean fat removed was 5+/-1 g/dl (mean+/-s.d.), which was the same as the pre-fat content of the mother's milk. Seven infants with chylous pleural effusions used the fat-free human milk. All infants started on the fat-free milk after a month of age for an average of 16 days duration (7 to 34 days range). There was no reaccumulation of the chylous pleural effusions with the use of the fat-free mother's milk. Mother's milk electrolytes were similar before and after processing. CONCLUSION: Fat-free human milk may be an important additional dietary therapy for infants with chylothorax and may add the immunologic properties of human milk that other feedings cannot provide.
Authors:
G M Chan; E Lechtenberg
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2007-06-07
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  27     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-26     Completed Date:  2007-08-23     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-6     Citation Subset:  IM    
Affiliation:
University of Utah Health Science Center, Salt Lake City, UT 84108, USA. gchan@hsc.utah.edu
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MeSH Terms
Descriptor/Qualifier:
Chylothorax / diet therapy*
Dietary Fats / analysis*
Humans
Infant Nutritional Physiological Phenomena
Infant, Newborn
Milk, Human*
Pleural Effusion / diet therapy*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Dietary Fats

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