Open AccessCHYLOPERITONEUM IN NEWBORNS: ETIOLOGY, PATHOGENESIS, DIAGNOSTICS AND TREATMENT
Author(s) -
Yury I. Kucherov,
Н. В. Холоднова,
С. Р. Адлейба,
A. L. Belaya,
Л. М. Макарова,
M. A. Ovsyannikova,
Yu. V. Zhirkova
Publication year - 2019
Publication title -
detskaâ hirurgiâ
Language(s) - English
Resource type - Journals
eISSN - 2412-0677
pISSN - 1560-9510
DOI - 10.18821/1560-9510-2019-23-3-139-142
Subject(s) - medicine , octreotide , intensive care medicine , etiology , conservative treatment , surgery , somatostatin , pathology
The present article is a literature review on etiopathogenesis, diagnosis, conservative and surgical treatment of chyloperitoneum in newborns. Chyloperitoneum is an extremely rare pathology in children and, not in all cases it is possible to find its cause. The management protocol for chyloperitoneum has not been developed. The most effective approach for managing this disease is a starvation pause, than transfer to full parenteral nutrition, administration of somatostatin (octreotide) and drainage of the abdominal cavity. Conservative therapy may take several months and, its effectiveness reaches 60-100%. Surgical treatment is aimed to indentify a focus of lymph leakage and its elimination; in severe cases, the fibrin glue is used.