Portal de investigação
Chylothorax in the neonate-A stepwise approach algorithm
Data de publicação:
Data Ahead of Print:
Autores da FMUP
Participantes de fora da FMUP
- Rocha, G
- Arnet, V
- Soares, P
- Gomes, AC
- Guerra, P
- Casanova, J
Unidades de investigação
Abstract
Background Chylothorax in neonates results from leakage of lymph from thoracic lymphatic ducts and is mainly congenital or posttraumatic. The clinical course of the effusion is heterogeneous, and consensus on treatment, timing, and modalities of measures has not yet been established. This review aims to present, along with levels of evidence and recommendation grades, all current therapeutic possibilities for the treatment of chylothorax in neonates. Methods An extensive search of publications between 1970 and 2020 was performed in the PubMed, Cochrane Database of Systematic Reviews, and UpToDate databases. A stepwise approach algorithm was proposed for both congenital and traumatic conditions to guide the clinician in a rational and systematic way for approaching the treatment of neonates with chylothorax. Discussion and Conclusion The treatment strategy for neonatal chylothorax generally involves supportive care and includes drainage and procedures to reduce chyle flow. A stepwise approach starting with the least invasive method is advocated. Progression in the invasiveness of treatment options is determined by the response to previous treatments. A practical stepwise approach algorithm is proposed for both, congenital and traumatic chylothoraces.
Dados da publicação
- ISSN/ISSNe:
- 8755-6863, 1099-0496
- Tipo:
- Article
- Páginas:
- 3093-3105
- DOI:
- 10.1002/ppul.25601
- Link para outro recurso:
- www.scopus.com
Pediatric Pulmonology Wiley-Liss Inc.
Citações Recebidas na Web of Science: 12
Citações Recebidas na Scopus: 17
Documentos
- Não há documentos
Filiações
Keywords
- approach; chylothorax; lymph; octreotide; pleural effusion; surgery
Proyectos asociados
Hospitalizations for Varicella in children and adolescents in Portugal: 2000 to 2015
Investigador Principal: Maria Inês Ferreira Agueda de Azevedo
Estudo Clínico Académico (Varicella) . 2020
Citar a publicação
Rocha G,Arnet V,Soares P,Gomes AC,Costa S,Guerra P,Casanova J,Azevedo I. Chylothorax in the neonate-A stepwise approach algorithm. Pediatr. Pulmonol. 2021. 56. (10):p. 3093-3105. IF:4,090. (1).
