Pleuroperitoneal shunt in the management of chylothorax caused by thoracic lymphatic dysplasia
Identifieur interne : 001C89 ( Istex/Corpus ); précédent : 001C88; suivant : 001C90Pleuroperitoneal shunt in the management of chylothorax caused by thoracic lymphatic dysplasia
Auteurs : Guillaume Podevin ; Guillaume Levard ; Michèle Larroquet ; Max GrunerSource :
- Journal of Pediatric Surgery [ 0022-3468 ] ; 1999.
Abstract
Three cases of intractable chylothorax secondary to thoracic lymphatic dysplasia were treated by pleuroperitoneal shunt insertion. These cases included on with Gorham's syndrome, and one case with a bilateral chylothorax and chylous ascites. Pleuroperitoneal shunts allowed an adequate internal drainage in all cases, alleviating protein and lymphocyte losses caused by recurrent pleural taps. In the third case with chylous ascites, valved shunts were used to avoid reflux between the peritoneal cavity and the pleural space. Such palliative therapy did not change the bad prognosis of these patients with lymphatic disorders but improved the children's quality of life.
Url:
DOI: 10.1016/S0022-3468(99)90026-X
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These cases included on with Gorham's syndrome, and one case with a bilateral chylothorax and chylous ascites. Pleuroperitoneal shunts allowed an adequate internal drainage in all cases, alleviating protein and lymphocyte losses caused by recurrent pleural taps. In the third case with chylous ascites, valved shunts were used to avoid reflux between the peritoneal cavity and the pleural space. Such palliative therapy did not change the bad prognosis of these patients with lymphatic disorders but improved the children's quality of life.</div></front></TEI><istex><corpusName>elsevier</corpusName><keywords><teeft><json:string>chylothorax</json:string><json:string>pleuroperitoneal</json:string><json:string>effusion</json:string><json:string>lymphangiectasia</json:string><json:string>shunt</json:string><json:string>lymphatic</json:string><json:string>surg</json:string><json:string>thoracic</json:string><json:string>chylous</json:string><json:string>pleuroperitoneal shunt</json:string><json:string>pleural effusion</json:string><json:string>ascites</json:string><json:string>thorac</json:string><json:string>pleuroperitoneal shunts</json:string><json:string>shunting</json:string><json:string>valved</json:string><json:string>congenital</json:string><json:string>pleural space</json:string><json:string>chylous ascites</json:string><json:string>congenital chylothorax</json:string><json:string>conventional therapy</json:string><json:string>parenteral nutrition</json:string><json:string>parietal pleura</json:string><json:string>quinton catheter</json:string><json:string>pediatr surg</json:string><json:string>pleuroperitoneal shunting</json:string><json:string>multiple lytic areas</json:string><json:string>pulmonary lymphangiectasia</json:string><json:string>thoracic lymphatic dysplasia</json:string><json:string>leveen shunt</json:string><json:string>right side</json:string><json:string>poor prognosis</json:string><json:string>immunologic complications</json:string><json:string>thorac surg</json:string><json:string>palliative therapy</json:string></teeft></keywords><author><json:item><name>Guillaume Podevin</name><affiliations><json:string>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</json:string></affiliations></json:item><json:item><name>Guillaume Levard</name><affiliations><json:string>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</json:string></affiliations></json:item><json:item><name>Michèle Larroquet</name><affiliations><json:string>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</json:string></affiliations></json:item><json:item><name>Max Gruner</name><affiliations><json:string>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Pleuroperitoneal shunt</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>lung lymphangiectasia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>lymphatic dysplasia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Gorham's syndrome</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>congenital lymphedema</value></json:item></subject><language><json:string>eng</json:string></language><originalGenre><json:string>Short communication</json:string></originalGenre><abstract>Three cases of intractable chylothorax secondary to thoracic lymphatic dysplasia were treated by pleuroperitoneal shunt insertion. 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Podevin, MD, Unité de chirurgie pédiatrique, Clinique chirurgicale, CHU La Milétrie, BP 577, 350 av Jacques Coeur, 86021 Poitiers Cedex, France.</note><affiliation>Address reprint requests to Dr G. Podevin, MD, Unité de chirurgie pédiatrique, Clinique chirurgicale, CHU La Milétrie, BP 577, 350 av Jacques Coeur, 86021 Poitiers Cedex, France.</affiliation><affiliation>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Guillaume</forename><surname>Levard</surname></persName><affiliation>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Michèle</forename><surname>Larroquet</surname></persName><affiliation>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Max</forename><surname>Gruner</surname></persName><affiliation>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</affiliation></author><idno type="istex">3EFF787BC9D11D002AA7941B9DA5A07D26F73C0F</idno><idno type="DOI">10.1016/S0022-3468(99)90026-X</idno><idno type="PII">S0022-3468(99)90026-X</idno></analytic><monogr><title level="j">Journal of Pediatric Surgery</title><title level="j" type="abbrev">YJPSU</title><idno type="pISSN">0022-3468</idno><idno type="PII">S0022-3468(00)X0176-5</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999"></date><biblScope unit="volume">34</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1420">1420</biblScope><biblScope unit="page" to="1422">1422</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1999</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Three cases of intractable chylothorax secondary to thoracic lymphatic dysplasia were treated by pleuroperitoneal shunt insertion. These cases included on with Gorham's syndrome, and one case with a bilateral chylothorax and chylous ascites. Pleuroperitoneal shunts allowed an adequate internal drainage in all cases, alleviating protein and lymphocyte losses caused by recurrent pleural taps. In the third case with chylous ascites, valved shunts were used to avoid reflux between the peritoneal cavity and the pleural space. Such palliative therapy did not change the bad prognosis of these patients with lymphatic disorders but improved the children's quality of life.</p></abstract><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Pleuroperitoneal shunt</term></item><item><term>lung lymphangiectasia</term></item><item><term>lymphatic dysplasia</term></item><item><term>Gorham's syndrome</term></item><item><term>congenital lymphedema</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1999">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/3EFF787BC9D11D002AA7941B9DA5A07D26F73C0F/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="sco"><item-info><jid>YJPSU</jid><aid>9990026X</aid><ce:pii>S0022-3468(99)90026-X</ce:pii><ce:doi>10.1016/S0022-3468(99)90026-X</ce:doi><ce:copyright type="unknown" year="1999"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Case report</ce:textfn></ce:dochead><ce:title>Pleuroperitoneal shunt in the management of chylothorax caused by thoracic lymphatic dysplasia</ce:title><ce:author-group><ce:author><ce:given-name>Guillaume</ce:given-name><ce:surname>Podevin</ce:surname><ce:cross-ref refid="COR1"><ce:sup>∗</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Guillaume</ce:given-name><ce:surname>Levard</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Michèle</ce:given-name><ce:surname>Larroquet</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Max</ce:given-name><ce:surname>Gruner</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>the Service de chirurgie viscérale pédiatrique, Hôpital Armand Trousseau, Paris, France.</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Address reprint requests to Dr G. Podevin, MD, Unité de chirurgie pédiatrique, Clinique chirurgicale, CHU La Milétrie, BP 577, 350 av Jacques Coeur, 86021 Poitiers Cedex, France.</ce:text></ce:correspondence></ce:author-group><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>Three cases of intractable chylothorax secondary to thoracic lymphatic dysplasia were treated by pleuroperitoneal shunt insertion. These cases included on with Gorham's syndrome, and one case with a bilateral chylothorax and chylous ascites. Pleuroperitoneal shunts allowed an adequate internal drainage in all cases, alleviating protein and lymphocyte losses caused by recurrent pleural taps. In the third case with chylous ascites, valved shunts were used to avoid reflux between the peritoneal cavity and the pleural space. Such palliative therapy did not change the bad prognosis of these patients with lymphatic disorders but improved the children's quality of life.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords class="idt"><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Pleuroperitoneal shunt</ce:text></ce:keyword><ce:keyword><ce:text>lung lymphangiectasia</ce:text></ce:keyword><ce:keyword><ce:text>lymphatic dysplasia</ce:text></ce:keyword><ce:keyword><ce:text>Gorham's syndrome</ce:text></ce:keyword><ce:keyword><ce:text>congenital lymphedema</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Pleuroperitoneal shunt in the management of chylothorax caused by thoracic lymphatic dysplasia</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Pleuroperitoneal shunt in the management of chylothorax caused by thoracic lymphatic dysplasia</title></titleInfo><name type="personal"><namePart type="given">Guillaume</namePart><namePart type="family">Podevin</namePart><affiliation>Unité de chirurgie pédiatrique, CHU La Milétrie, Poitiers, France</affiliation><description>Address reprint requests to Dr G. 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Such palliative therapy did not change the bad prognosis of these patients with lymphatic disorders but improved the children's quality of life.</abstract><note type="content">Section title: Case report</note><subject><genre>Keywords</genre><topic>Pleuroperitoneal shunt</topic><topic>lung lymphangiectasia</topic><topic>lymphatic dysplasia</topic><topic>Gorham's syndrome</topic><topic>congenital lymphedema</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Pediatric Surgery</title></titleInfo><titleInfo type="abbreviated"><title>YJPSU</title></titleInfo><genre type="journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">199909</dateIssued></originInfo><identifier type="ISSN">0022-3468</identifier><identifier type="PII">S0022-3468(00)X0176-5</identifier><part><date>199909</date><detail type="volume"><number>34</number><caption>vol.</caption></detail><detail type="issue"><number>9</number><caption>no.</caption></detail><extent unit="issue pages"><start>1311</start><end>1444</end></extent><extent unit="pages"><start>1420</start><end>1422</end></extent></part></relatedItem><identifier type="istex">3EFF787BC9D11D002AA7941B9DA5A07D26F73C0F</identifier><identifier type="DOI">10.1016/S0022-3468(99)90026-X</identifier><identifier type="PII">S0022-3468(99)90026-X</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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