Successful Treatment of Neonatal Idiopathic Chylous Ascites with Total Parenteral Nutrition and Somatostatin
نویسندگان
چکیده
In this paper we report a case of neonatal chylous ascites the diagnosis of which was made by lymphoscintigraphy and exclusion of all other organic diseases. Initial treatment with skimmed milk feeding was not effective, hence repeated abdominal paracentesis was required to relieve the distension. Total parenteral nutrition combined with intravenous somatostatin eventually resulted in long-term remission.
منابع مشابه
Successful Treatment of Congenital Chylous Ascites with Total Parenteral Nutrition
Congenital chylous ascites is a rare condition. It is predominantly idiopathic in etiology and presents a therapeutic challenge. A case of idiopathic congenital chylous ascites successfully treated with six weeks of total parenteral nutrition is described.
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PURPOSE To evaluate the effects of total parenteral nutrition and octreotide on pediatric patients with chylous ascites post-operative. METHODS Four patients were diagnosed with chylous ascites from Nov 2009 to Nov 2012. Total parenteral nutrition and octreotide was administered to 2 patients, while the other two only received fasting and total parenteral nutrition. All patients had persisten...
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A case of chylous ascites occurring after an emergency mesocaval shunt is reported. After an attempt at conservative management had failed, the patient was surgically explored. Although a lymphatic leak could not be identified, oversewing the retroperitoneum in the area of previous dissection and reinforcement with an omental pedicle was successful in preventing postoperative reaccumulation of ...
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OBJECTIVE To analyze the success rate of somatostatin in children with persistent chylothorax who failed dietary treatment options (fat-free nutrition, total parenteral nutrition) and to work out predictive factors for a successful therapy with somatostatin. METHODS Retrospective cohort study over a 5-year period (2000-2004) in a neonatal and pediatric intensive care unit of a tertiary univer...
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