Journal Information
Vol. 13. Issue 3.
Pages 377-381 (May - June 2007)
Share
Share
Download PDF
More article options
Vol. 13. Issue 3.
Pages 377-381 (May - June 2007)
Artigo de Revisão / Revision Article
Open Access
Quilotórax no feto e no recém-nascido – Orientação do tratamento
Chylothorax in the fetus and the neonate – Guidelines for treatment
Visits
7416
Gustavo Rocha1,
Corresponding author
gusrocha@oninet.pt

Autor responsável: Gustavo Rocha Serviço de Neonatologia / Departamento de Pediatria Hospital de São João – Piso 2 – Alameda Prof. Hernâni Monteiro – 4200-319 Porto Telefone: 225095816 – Fax: 225505919.
, Paula Guerra2, Inês Azevedo3, Hercília Guimarães4
1 Assistente Hospitalar, Serviço de Neonatologia, Departamento de Pediatria, Hospital de São João (HSJ)
2 Assistente Hospitalar, Unidade de Nutrição, Departamento de Pediatria, HSJ
3 Assistente Hospitalar Graduada, Unidade de Pneumologia, Departamento de Pediatria, HSJ e Faculdade de Medicina da Universidade do Porto (FMUP)
4 Directora do Serviço de Neonatologia, Departamento de Pediatria, HSJ e FMUP
This item has received

Under a Creative Commons license
Article information
Resumo

O quilotórax é o derrame pleural mais frequente no feto e no recém-nascido. O tratamento actual do quilotórax inclui várias e diferentes medidas terapêuticas pré e pós-natais.

Os autores apresentam, de forma prática e sumária, linhas de orientação para o tratamento do quilotórax no feto e no recém-nascido, incluindo a utilização das novas terapêuticas somatostatina e octreótido.

Rev Port Pneumol 2007; XIII (3): 377-381

Palavras-chave:
Quilotórax
recém-nascido
octreótido
somatostatina
Abstract

Chylothorax is the most common pleural effusion in the fetus and the neonate. Actual treatment of chylo-thorax includes many different antenatal and postnatal therapeutical approaches.

The authors present practical and summarized guidelines for the treatment of chylothorax in the fetus and the neonate, including the new therapies somatostatin and octreotide.

Rev Port Pneumol 2007; XIII (3): 377-381

Key-words:
Chylothorax
newborn
octreotide
somatostatin
Full text is only aviable in PDF
Bibliografia
[1.]
H.L.M. Straaten, L.J. Gerards, T.G. Krediet.
Chylothorax in the neonatal period.
Eur J Pediatr, 152 (1993), pp. 2.5
[2.]
L.N. Bessone, T.B. Ferguson, T.H. Burford.
Chylothorax. A collective review.
Ann Thorac Surg, 12 (1971), pp. 527-550
[3.]
J.V. Aerde, A.N. Campbell, J.A. Smyth, D. Lloyd.
Spontaneous chylothorax in newborns.
Am J Dis Child, 138 (1984), pp. 961-964
[4.]
R.F. Brodman, T.M. Zavelson, G.L. Schiebler.
Treatment of congenital chylothorax.
J Pediatr, 85 (1974), pp. 516-517
[5.]
W.S. Yancy, A. Spock.
Spontaneous neonatal pleural effusion.
J Pediatr Surg, 2 (1967), pp. 313-319
[6.]
V. Chernick, M.H. Reed.
Pneumothorax and chylotho-rax in the neonatal period.
J Pediatr, 76 (1970), pp. 624.32
[7.]
A. Greenough, N.R.C. Roberton.
Acute respiratory disease in the newborn.
3rd ed, pp. 481-607
[8.]
T.N. Hansen, A. Corbet, R.A. Ballard.
Disorders of the Chest Wall, Pleural Cavity, and Diaphragm.
8 th ed, pp. 760-763
[9.]
A. Wasmuth-pietzuch, M. Hansmann, P. Bartman, A. Heep.
Congenital chylothorax: lymphopenia and high risk of neonatal infections.
Acta Paediatr, 93 (2004), pp. 220-224
[10.]
H.J. Philippe, A. Paupe, P. Dompeyre, F. Jacquemard, R. Lenclen, F. Muller, et al.
Diagnostic antenatal et prise en charge du chylothorax congenital.
Arch Fr Pediatr, 47 (1990), pp. 737-740
[11.]
A. Hutchinson, J. Drew, V. Yu.
Nonimunologic hydrops fetalis: a review of 61 cases.
Obstet Gynecol, 59 (1982), pp. 347-352
[12.]
H. Koffler, F. Papile, R.L. Burnstein.
Congenital chylo-thorax. Two cases associated with maternal polyhydramnios.
Am J Dis Child, 132 (1978), pp. 638
[13.]
J. Doyle, B. Schmidt, V. Blanchette, Zipursky A. Hematology.
Neonatology – Pathophysiology & Management of the Newborn, 5 th ed, pp. 1045-1091
[14.]
P. Mussat, M. Dommerges, S. Parat, L. Mandelbrot, E. Gamarra, Y. Dumez, et al.
Congenital chylothorax with hydrops: postnatal care and outcome following antenatal diagnosis.
Acta Paediatr, 84 (1995), pp. 749-755
[15.]
V. Buttiker, S. Fanconi, R. Burger.
Chylothorax in children: guidelines for diagnosis and management.
Chest, 116 (1999), pp. 682-687
[16.]
G. Hillerdal.
Chylothorax and pseudochylothorax.
Eur Respir J, 10 (1997), pp. 1157-1162
[17.]
P. Upadhyaya.
Pleural effusion.
Newborn Surgery, 3rd ed., pp. 187-189
[18.]
K.H. Nicolaides, M. Blott.
Pleuroamniotic shunting for decompression of fetal pleural effusions.
Obstet Gynecol, 71 (1988), pp. 798-800
[19.]
H.G. Decano Jr..
The treatment of chylothorax in children.
Surg Gynecol Obstet, 121 (1965), pp. 509-512
[20.]
S.J. Bond, P.C. Guzzetta, M.L. Snyder, S.G. Randolph.
Management of pediatric postoperative chylothorax.
Ann Thorac Surg, 56 (1993), pp. 469.72
[21.]
F. Costa.
Quilotórax.
Cirurgia Pediátrica, 2ª ed., pp. 624-630
[22.]
P.C. Rimensberger, B. Muller-Schenker, A. Kalangos, M. Beghetti.
Treatment of a persistent postoperative chylothorax with somatostatin.
Ann Thorac Surg, 66 (1998), pp. 253-254
[23.]
R.F. Kelly, S.J. Shumway.
Conservative management of postoperative chylothorax using somatostatin.
Ann Thorac Surg, 69 (2000), pp. 1944-1945
[24.]
J.I. Ulibarri, Y. Sanz, C. Fuentes, A. Mancha, M. Aramendia, S. Sanchez.
Reduction of lymphorrhagia from ruptured thoracic duct by somatostatin.
Lancet, 336 (1990), pp. 258
[25.]
N.J. Demos, J. Kozel, J.E. Scerbo.
Somatostatin in the treatment of chylothorax.
Chest, 119 (2001), pp. 964-966
[26.]
K.M. Markham, J.L. Glover, R.J. Welsh, R.J. Lucas, P.J. Ben-dik.
Octreotide in the treatment of thoracic duct injuries.
The American Surgeon, 66 (2000), pp. 1165.7
[27.]
Y.-F. Cheung, M.P. Leung, M.-M. Yip.
Octreotide for treatment of postoperative chylothorax.
J Pediatr, 139 (2001), pp. 157-159
[28.]
C.C. Roehr, A. Jung, H. Proquitté, R.R. Wauer.
Systematic review: somatostatin or octreotide as treatment options of chylothorax in young children.
Eur Resp J, 26 (2005), pp. 392s
[29.]
M. Beghetti, G. La Scala, D. Belli, P. Bugmann, A. Kalangos, C. Le Coultre.
Etiology and management of pediatric chylothorax.
J Pediatr, 136 (2000), pp. 653-658
[30.]
R.A. Castillo, L.D. Devoe, G. Falls, G.B. Holzman, H.A. Hadi, H.E. Fadel.
Pleural effusions and pulmonary hypo-plasia.
Am J Obstet Gynecol, 157 (1987), pp. 1252-1255
Copyright © 2007. Sociedade Portuguesa de Pneumologia/SPP
Download PDF
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?