CHYLOPERITONEUM IN NEWBORNS: ETIOLOGY, PATHOGENESIS, DIAGNOSTICS AND TREATMENT


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Abstract

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.

About the authors

Y. I. Kucherov

Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian Federation; Pirogov Russian Medical University, Ministry of Healthcare of Russian Federation

Author for correspondence.
Email: ykucherov@mail.ru
Russian Federation

N. V. Kholodnova

Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian Federation

Email: noemail@neicon.ru
Russian Federation

S. R. Adleiba

Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian Federation; Pirogov Russian Medical University, Ministry of Healthcare of Russian Federation

Email: noemail@neicon.ru
Russian Federation

A. L. Belaya

Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian Federation

Email: noemail@neicon.ru
Russian Federation

L. M. Makarova

Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian Federation

Email: noemail@neicon.ru
Russian Federation

M. A. Ovsyannikova

Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian Federation

Email: noemail@neicon.ru
Russian Federation

Yu. V. Zhirkova

Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian Federation; Pirogov Russian Medical University, Ministry of Healthcare of Russian Federation

Email: noemail@neicon.ru
Russian Federation

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