Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector14010.18821/1560-9510-2019-23-3-139-142ReviewsНаучные обзорыCHYLOPERITONEUM IN NEWBORNS: ETIOLOGY, PATHOGENESIS, DIAGNOSTICS AND TREATMENTХИЛОПЕРИТОНЕУМ У НОВОРОЖДЕННЫХ: ЭТИОЛОГИЯ, ПАТОГЕНЕЗ, ДИАГНОСТИКА И ЛЕЧЕНИЕKucherovY. I.КучеровЮ. И.
Russian Federation
ykucherov@mail.ruKholodnovaN. V.ХолодноваН. В.
Russian Federation
AdleibaS. R.АдлейбаС. Р.
Russian Federation
BelayaA. L.БелаяА. Л.
Russian Federation
MakarovaL. M.МакароваЛ. М.
Russian Federation
OvsyannikovaM. A.ОвсянниковаМ. А.
Russian Federation
ZhirkovaYu. V.ЖирковаЮ. В.
Russian Federation
Speransky Children’s Hospital No 9, Ministry of Healthcare of Russian FederationГосударственное бюджетное учреждение здравоохранения города Москвы «Детская городская клиническая больница № 9 им. Г.Н. Сперанского» Департамента здравоохранения города МосквыPirogov Russian Medical University, Ministry of Healthcare of Russian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской Федерации05062019233139142050320212019https://jps-nmp.ru/jour/article/view/140

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.

Статья посвящена обзору литературы по этиопатогенезу, диагностике, консервативному и хирургическому лечению хилоперитонеума у новорожденных. Хилоперитонеум встречается у детей крайне редко и не во всех случаях можно установить причину возникновения этого заболевания. Протокол лечения хилоперитонеума не разработан. Наиболее эффективными методами лечения являются голодная пауза, перевод ребенка на полное парентеральное питание, назначение соматостатина (октреотида), дренирование брюшной полости. Длительность консервативной терапии может составлять несколько месяцев и ее эффективность достигает 60-100%. Хирургическое лечение направлено на выявление места истечения лимфы и его устранение, в тяжелых случаях используют фибриновый клей.

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