NP Medical News about Chylothorax

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Chylothorax: Diagnosis and Management in Children
Paediatric Respiratory Reviews, 11/02/09

Soto–Martinez M et al. – Investigations to outline the lymphatic channels can prove helpful in some cases. Initial treatment consists of drainage, dietary modifications, total parenteral nutrition and time for the thoracic duct to heal. Somatostatin and its analogue octreotide may be useful in some cases. Surgery should be considered for patients who fail these initial steps, or in whom complications such as electrolyte and fluid imbalance, malnutrition or immunodeficiency persist. Surgical intervention may be attempted thoracoscopically with repair or ligation of the thoracic duct.

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Infantile chylothorax associated with staphylococcal paravertebral discitis
Pediatric Radiology, 10/20/09 Relevance Score: 87%