Journal of Pediatric Surgery
Volume 43, Issue 3 , Pages 461-465 , March 2008

Therapeutic strategies for idiopathic chylothorax

  • Ralph Epaud

      Affiliations

    • Hôpital Armand Trousseau, Université Pierre et Marie Curie-Paris 6, Paris, France
    • Pediatric Pulmonary Department, INSERM UMR-S U719
    • Corresponding Author InformationCorresponding author. Pediatric Pulmonology Department and Inserm UMR-S U719, Hopital d'enfants Armand Trousseau, 75571 Paris cedex 12, France. Tel.: +33 144736668; fax: +33 144736718.
    • ,
  • Beatrice Dubern

      Affiliations

    • Hôpital Armand Trousseau, Université Pierre et Marie Curie-Paris 6, Paris, France
    • Pediatric Gastroenterology and Nutrition Department, INSERM UMRS U872
    • ,
  • Michele Larroquet

      Affiliations

    • Hôpital Armand Trousseau, Université Pierre et Marie Curie-Paris 6, Paris, France
    • Pediatric Surgery Department
    • ,
  • Aline Tamalet

      Affiliations

    • Hôpital Armand Trousseau, Université Pierre et Marie Curie-Paris 6, Paris, France
    • Pediatric Pulmonary Department, INSERM UMR-S U719
    • ,
  • Nathalie Guillemot

      Affiliations

    • Hôpital Armand Trousseau, Université Pierre et Marie Curie-Paris 6, Paris, France
    • Pediatric Pulmonary Department, INSERM UMR-S U719
    • ,
  • Chantal Maurage

      Affiliations

    • Pediatric Gastroenterology, Hôpital Clocheville, Tours, France
    • ,
  • Annick Clement

      Affiliations

    • Hôpital Armand Trousseau, Université Pierre et Marie Curie-Paris 6, Paris, France
    • Pediatric Pulmonary Department, INSERM UMR-S U719
    • ,
  • Brigitte Fauroux

      Affiliations

    • Hôpital Armand Trousseau, Université Pierre et Marie Curie-Paris 6, Paris, France
    • Pediatric Pulmonary Department, INSERM UMR-S U719

References 

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  2. Virchow R. Gesammelte abhandlungen zur wissenschaftlichen medicin. Frankfurt: Meidinger Sohn; 1856;
  3. Romero S. Nontraumatic chylothorax. Curr Opin Pulm Med. 2000;6:287–291
  4. de Beer HG, Mol MJ, Janssen JP. Chylothorax. Neth J Med. 2000;56:25–31
  5. Beghetti M, La Scala G, Belli D, et al. Etiology and management of pediatric chylothorax. J Pediatr. 2000;136:653–658
  6. Doerr CH, Allen MS, Nichols FC, et al. Etiology of chylothorax in 203 patients. Mayo Clin Proc. 2005;80:867–870
  7. Staats BA, Ellefson RD, Budahn LL, et al. The lipoprotein profile of chylous and nonchylous pleural effusions. Mayo Clin Proc. 1980;55:700–704
  8. Buttiker V, Fanconi S, Burger R. Chylothorax in children: guidelines for diagnosis and management. Chest. 1999;116:682–687
  9. Hillerdal G. Chylothorax and pseudochylothorax. Eur Respir J. 1997;10:1157–1162
  10. Wang JS, Tseng CH. Changes in pulmonary mechanics and gas exchange after thoracentesis on patients with inversion of a hemidiaphragm secondary to large pleural effusion. Chest. 1995;107:1610–1614
  11. Allen EM, van Heeckeren DW, Spector ML, et al. Management of nutritional and infectious complications of postoperative chylothorax in children. J Pediatr Surg. 1991;26:1169–1174
  12. Densupsoontorn NS, Jirapinyo P, Wongarn R, et al. Management of chylothorax and chylopericardium in pediatric patients: experiences at Siriraj Hospital, Bangkok. Asia Pac J Clin Nutr. 2005;14:182–187
  13. Peitersen B, Jacobsen B. Medium chain triglycerides for treatment of spontaneous, neonatal chylothorax. Lipid analysis of the chyle. Acta Paediatr Scand. 1977;66:121–125
  14. Jensen GL, Mascioli EA, Meyer LP, et al. Dietary modification of chyle composition in chylothorax. Gastroenterology. 1989;97:761–765
  15. Kelly RF, Shumway SJ. Conservative management of postoperative chylothorax using somatostatin. Ann Thorac Surg. 2000;69:1944–1945
  16. Rimensberger PC, Muller-Schenker B, Kalangos A, et al. Treatment of a persistent postoperative chylothorax with somatostatin. Ann Thorac Surg. 1998;66:253–254
  17. Ulibarri JI, Sanz Y, Fuentes C, et al. Reduction of lymphorrhagia from ruptured thoracic duct by somatostatin. Lancet. 1990;336:258
  18. Shah A, Dinwiddie R, Woolf D, et al. Generalized lymphangiomatosis and chylothorax in the pediatric age group. Pediatr Pulmonol. 1992;14:126–130
  19. Browse NL, Allen DR, Wilson NM. Management of chylothorax. Br J Surg. 1997;84:1711–1716
  20. Le Coultre C, Oberhansli I, Mossaz A, et al. Postoperative chylothorax in children: differences between vascular and traumatic origin. J Pediatr Surg. 1991;26:519–523
  21. Rifai N, Sfeir R, Rakza T, et al. Successful management of severe chylothorax with argon plasma fulguration and fibrin glue in a premature infant. Eur J Pediatr Surg. 2003;13:324–326
  22. Glazer M, Berkman N, Lafair JS, et al. Successful talc slurry pleurodesis in patients with nonmalignant pleural effusion. Chest. 2000;117:1404–1409
  23. Aoki M, Kato F, Saito H, et al. Successful treatment of chylothorax by bleomycin for Gorham' s disease. Clin Orthop. 1996;193–197
  24. Azizkhan RG, Canfield J, Alford BA, et al. Pleuroperitoneal shunts in the management of neonatal chylothorax. J Pediatr Surg. 1983;18:842–850
  25. Engum SA, Rescorla FJ, West KW, et al. The use of pleuroperitoneal shunts in the management of persistent chylothorax in infants. J Pediatr Surg. 1999;34:286–290
  26. Murphy MC, Newman BM, Rodgers BM. Pleuroperitoneal shunts in the management of persistent chylothorax. Ann Thorac Surg. 1989;48:195–200
  27. Lampson R. Traumatic chylothorax. J Thorac Surg. 1948;17:778–791

☆ The authors have reported that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

PII: S0022-3468(07)00822-6

doi: 10.1016/j.jpedsurg.2007.10.024

Journal of Pediatric Surgery
Volume 43, Issue 3 , Pages 461-465 , March 2008

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