Open AccessCongenital chylous ascites treated successfully with MCT-Based formula and octreotide
Author(s) -
Radheshyam Purkait,
Ashis Kumar Saha,
Isita Tripathy,
Birendranath Roy
Publication year - 2014
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/0971-9261.136480
Subject(s) - medicine , chylous ascites , octreotide , paracentesis , parenteral nutrition , ascites , infusion therapy , surgery , somatostatin
Medium chain triglyceride (MCT)-based diet, total parenteral nutrition (TPN) and repeated paracentesis are considered as supportive management for congenital chylous ascites (CCA). TPN is considered where therapy with oral MCT is poorly tolerated by the patient especially young infant with unstable hemodynamic. Surgery is recommended when medical therapy fails. Herein, we report a 2½-month-old infant with CCA, treated successfully with octreotide intravenous infusion after the initial failure to response to conventional conservative therapy with MCT-enriched formula and paracentesis.