Aetiology and management of chylothorax in adults
Identifieur interne : 007396 ( Main/Exploration ); précédent : 007395; suivant : 007397Aetiology and management of chylothorax in adults
Auteurs : Sukumaran K. Nair [Royaume-Uni] ; Matus Petko [Royaume-Uni] ; Martin P. Hayward [Royaume-Uni]Source :
- European Journal of Cardio-Thoracic Surgery [ 1010-7940 ] ; 2007-08.
English descriptors
- KwdEn :
Abstract
Though rare in incidence, chylothorax can lead to significant morbidity and mortality. Its occurrence corresponds to increased mortality following esophagectomy. Leakage of chyle and lymph leads to significant loss of essential proteins, immunoglobulins, fat, vitamins, electrolytes and water. The presence of chylomicrons and a triglyceride level >110 mg/dl in the aspirated pleural fluid confirms the diagnosis of chylothorax. Identifying the aetiology using different diagnostic tests is important in planning treatment. While therapeutic thoracentesis provides relief from respiratory symptoms, the nutritional deficiency will continue to persist or deteriorate unless definitive therapeutic measures are instituted to stop leakage of chyle into the pleural space. Definitive therapy consists of obliteration and prevention of recurrence of chylothorax. Aggressive surgical therapy is recommended for post-traumatic or post-surgical chylothorax.
Url:
DOI: 10.1016/j.ejcts.2007.04.024
Affiliations:
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Nair</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Cardiothoracic Surgery, The Heart Hospital, University College London NHS Trust, 16-18 Westmoreland Street, London W1G 8PH</wicri:regionArea><wicri:noRegion>London W1G 8PH</wicri:noRegion></affiliation><affiliation></affiliation></author><author><name sortKey="Petko, Matus" sort="Petko, Matus" uniqKey="Petko M" first="Matus" last="Petko">Matus Petko</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Cardiothoracic Surgery, The Heart Hospital, University College London NHS Trust, 16-18 Westmoreland Street, London W1G 8PH</wicri:regionArea><wicri:noRegion>London W1G 8PH</wicri:noRegion></affiliation></author><author><name sortKey="Hayward, Martin P" sort="Hayward, Martin P" uniqKey="Hayward M" first="Martin P." last="Hayward">Martin P. Hayward</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Cardiothoracic Surgery, The Heart Hospital, University College London NHS Trust, 16-18 Westmoreland Street, London W1G 8PH</wicri:regionArea><wicri:noRegion>London W1G 8PH</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Cardio-Thoracic Surgery</title><title level="j" type="abbrev">Eur J Cardiothorac Surg</title><idno type="ISSN">1010-7940</idno><idno type="eISSN">1873-734X</idno><imprint><publisher>Elsevier Science B.V.</publisher><date type="published" when="2007-08">2007-08</date><biblScope unit="volume">32</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="362">362</biblScope><biblScope unit="page" to="369">369</biblScope></imprint><idno type="ISSN">1010-7940</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1010-7940</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chylothorax</term><term>Lymph</term><term>Thoracic duct</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Though rare in incidence, chylothorax can lead to significant morbidity and mortality. Its occurrence corresponds to increased mortality following esophagectomy. Leakage of chyle and lymph leads to significant loss of essential proteins, immunoglobulins, fat, vitamins, electrolytes and water. The presence of chylomicrons and a triglyceride level >110 mg/dl in the aspirated pleural fluid confirms the diagnosis of chylothorax. Identifying the aetiology using different diagnostic tests is important in planning treatment. While therapeutic thoracentesis provides relief from respiratory symptoms, the nutritional deficiency will continue to persist or deteriorate unless definitive therapeutic measures are instituted to stop leakage of chyle into the pleural space. Definitive therapy consists of obliteration and prevention of recurrence of chylothorax. Aggressive surgical therapy is recommended for post-traumatic or post-surgical chylothorax.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Nair, Sukumaran K" sort="Nair, Sukumaran K" uniqKey="Nair S" first="Sukumaran K." last="Nair">Sukumaran K. Nair</name></noRegion><name sortKey="Hayward, Martin P" sort="Hayward, Martin P" uniqKey="Hayward M" first="Martin P." last="Hayward">Martin P. Hayward</name><name sortKey="Petko, Matus" sort="Petko, Matus" uniqKey="Petko M" first="Matus" last="Petko">Matus Petko</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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