PDF Download


Parece ser un tratamiento eficaz para la ascitis quilosa. . chylous ascites in a neonate treated successfully with octreotide: bile sludge and cholestasis. Ascitis quilosa atraumática Bibliografía 1. D’Agostino S., Costa L., Fabbro M.A., et al: Neonatal chylous ascites: a case report and review of the literature. A series of 45 patients with chylous ascites has been reviewed. The age at presentation ranged from I to 80 (median 12) years; 23 patients were aged ≦

Author: Dimi Kazshura
Country: Cuba
Language: English (Spanish)
Genre: Environment
Published (Last): 25 April 2009
Pages: 418
PDF File Size: 10.32 Mb
ePub File Size: 2.73 Mb
ISBN: 537-4-54427-752-3
Downloads: 8217
Price: Free* [*Free Regsitration Required]
Uploader: Kajilkree

Liver disease is a rapidly growing More information. What are the risk factors for pleural. His General Surgery Services include: Chylous ascites and chylothorax due to constrictive pericarditis in a patient undergoing haemodialysis. The amount of ascitic fluid dramatically decreased postoperatively.

After 15 days paraclinical and clinical indications showed a positive response characterized by a reduction in the number of stools to only one or two per day. Many diseases including intestinal lymphangiectasia, Menetrier’s disease and inflammatory conditions such as lupus erythematosus are associated with excessive enteric loss of plasma proteins 4.

Origin of fat in chylous ascites of patients with liver cirrhosis. Chyloperitoneum associated with chronic severe sarcoidosis.

Ascitis quilosa atraumática

Blunt abdominal trauma causing chyloretroperitoneum. That is probably the cause of thickened mesentery with dilated lymphatics and of the mesenteric cyst filled with milky fluid Figure 2A, 2B, 2C. Other causes of chylous ascites in children are either idiopathic or obstructive lesions caused by malrotation, intussusception, incarcerated hernia, lymphan-gioma, blunt trauma, liver disease, and tuberculosis 5.


Since no decrease of chyle was accomplished, surgical intervention was decided. Introduction Chylous ascites is the extravasation of milky chyle rich in triglycerides into the peritoneal cavity. Treatment options for chylous ascites after major abdominal surgery: Successful dietetic-therapy in primary intestinal lymphangiectasia and recurrent chylous ascites: Abdominal US identified no underlying pathology.

Four patients with chylous ascites were included in this study from November to Nov J Vasc Interv Radiol ; Octreotide, a synthetic, long-acting somatostatin analogue, has been suggested as a therapeutic agent in the management of several clinical disorders. Endoscopy can be negative when lesions are segmented or localized. Anadolu Kardiyol Derg ; 5 4: List of Part Numbers Manufacturer’s No. Patient 2 was operated in another hospital, and administrated to our hospital due to abdominal distention one month after surgery.

Interrupted sutures and fibrin glue were placed at the dilated cysterna chyli, after a Kocher maneuver was performed Figure 4C.

Diagnosis and management of congenital neonatal chylous ascites

The diagnostic tool for the type of ascites is the analysis of the fluid obtained by abdominal paracentesis. This study helps to evaluate the patency of the lymphatic system and possibly to identify the site of leakage 111 Sari S, Baris Z, Dalgic b.

There are reports that associate it with osteomalacia, osteoporosis, development of vitamin D deficiency and secondary hyperparathyroidism 5. Hf Cd Na Nb Lr. J Pediatr Surg ; 44 5: OK therapy for chylous pleural effusion or ascites associated with lymphatic malformations.

  865PE NEO2 PDF

World Journal of Gastroenterology – Baishideng Publishing Group

The diagnosis was confirmed by intestinal biopsy See Figures 34567 and 8. Proton therapy currently comes closest to this. During exploratory laparotomy, all major lacteals should be examined for evidence of a leak requiring suturing. Patient 3 was a celiac Burkitt lymphoma with ileocecus mesentery lymph node enlargement, and chylous ascites was observed 10 day after ileocecus mesentery lymphadenectomy.

Peritoneovenous shunt after failure of octreotide treatment for chylous ascites in lymphangioleiomyomatosis. The purpose of this study was to determine the clinical features of focal nodular hyperplasia FNH and investigate its. Ulster Med J ; Because the liver filters blood More information. Ann Thorac Surg ; 72 5: Octreotide is an analogue of somatostatin that can help reduce losses of lymph nodes through several mechanisms.

The role of the gastrointestinal system in idiopathic hypoproteinemia. The diagnosis and management of postoperative chylous ascites. At her first and second follow up examination 1 st and 3 rd month postoperatively she was in excellent condition.

The fluid that was obtained by thoracentesis and abdominal paracentesis was chyle abdominal: