Congenital chylothorax: Clinical course and prognostic significance
Objective To determine the underlying etiology, associated malformations, clinical course, and prognostic significance of congenital chylothorax. Study design A retrospective analysis of 11 neonates admitted to our neonatal intensive care unit with congenital chylothorax between January 2000 and Jun...
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| Veröffentlicht in: | Pediatric pulmonology 2009-08, Vol.44 (8), p.806-811 |
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| creator | Ergaz, Zivanit Bar-Oz, Benjamin Yatsiv, Ido Arad, Ilan |
| description | Objective
To determine the underlying etiology, associated malformations, clinical course, and prognostic significance of congenital chylothorax.
Study design
A retrospective analysis of 11 neonates admitted to our neonatal intensive care unit with congenital chylothorax between January 2000 and June 2008. The post‐discharge clinical and developmental course was evaluated by a telephone survey performed in July 2008.
Results
Antenatal diagnosis was established in 9 out of 11 infants by ultrasound examination; 5 had intrauterine pleural drainage. Eight infants had either structural or chromosomal abnormalities. The postnatal treatment included mechanical ventilation, drainage of pleural fluid and feeding with enriched medium chain triglyceride formula. Somatostatin was administered in one case. Six patients developed nosocomial infections. Two patients died after resolution of the chylothorax from deteriorating renal failure. Seven patients were traced for follow up and six of them achieved age appropriate developmental milestones.
Conclusion
The recovery from chylothorax and future prognosis were dependent on the underlying etiology. Chylothorax was often a secondary event, with apparently favorable clinical and developmental prognosis when the underlying or/and associated condition was treatable. Pediatr Pulmonol. 2009; 44:806–811. © 2009 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ppul.21070 |
| format | Article |
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To determine the underlying etiology, associated malformations, clinical course, and prognostic significance of congenital chylothorax.
Study design
A retrospective analysis of 11 neonates admitted to our neonatal intensive care unit with congenital chylothorax between January 2000 and June 2008. The post‐discharge clinical and developmental course was evaluated by a telephone survey performed in July 2008.
Results
Antenatal diagnosis was established in 9 out of 11 infants by ultrasound examination; 5 had intrauterine pleural drainage. Eight infants had either structural or chromosomal abnormalities. The postnatal treatment included mechanical ventilation, drainage of pleural fluid and feeding with enriched medium chain triglyceride formula. Somatostatin was administered in one case. Six patients developed nosocomial infections. Two patients died after resolution of the chylothorax from deteriorating renal failure. Seven patients were traced for follow up and six of them achieved age appropriate developmental milestones.
Conclusion
The recovery from chylothorax and future prognosis were dependent on the underlying etiology. Chylothorax was often a secondary event, with apparently favorable clinical and developmental prognosis when the underlying or/and associated condition was treatable. Pediatr Pulmonol. 2009; 44:806–811. © 2009 Wiley‐Liss, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.21070</identifier><identifier>PMID: 19598277</identifier><identifier>CODEN: PEPUES</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; chylothorax ; Chylothorax - complications ; Chylothorax - congenital ; Chylothorax - diagnosis ; Chylothorax - therapy ; congenital malformations ; Diseases of mother, fetus and pregnancy ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; hydrops fetalis ; Infant ; Infant, Newborn ; Male ; Medical sciences ; neonate ; Pneumology ; Pregnancy. Fetus. Placenta ; Prognosis ; Respiratory system : syndromes and miscellaneous diseases ; Ultrasonography, Prenatal</subject><ispartof>Pediatric pulmonology, 2009-08, Vol.44 (8), p.806-811</ispartof><rights>Copyright © 2009 Wiley‐Liss, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4610-6e9270daae037362c38aa875a5ff1aed1b60a232b38232e1327a93c98f0c5e83</citedby><cites>FETCH-LOGICAL-c4610-6e9270daae037362c38aa875a5ff1aed1b60a232b38232e1327a93c98f0c5e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fppul.21070$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fppul.21070$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21727959$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19598277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ergaz, Zivanit</creatorcontrib><creatorcontrib>Bar-Oz, Benjamin</creatorcontrib><creatorcontrib>Yatsiv, Ido</creatorcontrib><creatorcontrib>Arad, Ilan</creatorcontrib><title>Congenital chylothorax: Clinical course and prognostic significance</title><title>Pediatric pulmonology</title><addtitle>Pediatr. Pulmonol</addtitle><description>Objective
To determine the underlying etiology, associated malformations, clinical course, and prognostic significance of congenital chylothorax.
Study design
A retrospective analysis of 11 neonates admitted to our neonatal intensive care unit with congenital chylothorax between January 2000 and June 2008. The post‐discharge clinical and developmental course was evaluated by a telephone survey performed in July 2008.
Results
Antenatal diagnosis was established in 9 out of 11 infants by ultrasound examination; 5 had intrauterine pleural drainage. Eight infants had either structural or chromosomal abnormalities. The postnatal treatment included mechanical ventilation, drainage of pleural fluid and feeding with enriched medium chain triglyceride formula. Somatostatin was administered in one case. Six patients developed nosocomial infections. Two patients died after resolution of the chylothorax from deteriorating renal failure. Seven patients were traced for follow up and six of them achieved age appropriate developmental milestones.
Conclusion
The recovery from chylothorax and future prognosis were dependent on the underlying etiology. Chylothorax was often a secondary event, with apparently favorable clinical and developmental prognosis when the underlying or/and associated condition was treatable. Pediatr Pulmonol. 2009; 44:806–811. © 2009 Wiley‐Liss, Inc.</description><subject>Biological and medical sciences</subject><subject>chylothorax</subject><subject>Chylothorax - complications</subject><subject>Chylothorax - congenital</subject><subject>Chylothorax - diagnosis</subject><subject>Chylothorax - therapy</subject><subject>congenital malformations</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>hydrops fetalis</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>neonate</subject><subject>Pneumology</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prognosis</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Ultrasonography, Prenatal</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwjAYgBujEUQv_gCzix5Mhv1g6-pNFkXNghwwJF6aUjqojm22W4R_b3ETb176Jn2f9-sB4BzBPoIQ35RlnfUxghQegC6CjPlwwMJD0I1oEPhhFJIOOLH2HUKXY-gYdBALWIQp7YI4LvKlynUlMk-utllRrQojNrdenOlcy91vURurPJEvvNIUy7ywlZae1ctcpw7IpToFR6nIrDprYw9MH-6n8aOfvIye4rvEl4MQQT9UDFO4EEJBQkmIJYmEcCuKIE2RUAs0D6HABM9J5F6FCKaCEcmiFMpARaQHrpq2bo3PWtmKr7WVKstErora8pAGhGDCHHjdgNIU1hqV8tLotTBbjiDfGeM7Y_zHmIMv2q71fK0Wf2iryAGXLSCs85Ead7K2ew4jiqljHYca7ktnavvPSD6ZvCa_w_2mRttKbfY1wny4awgN-Gw84sPhMHl7DmZ8TL4Bt_SSrA</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Ergaz, Zivanit</creator><creator>Bar-Oz, Benjamin</creator><creator>Yatsiv, Ido</creator><creator>Arad, Ilan</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200908</creationdate><title>Congenital chylothorax: Clinical course and prognostic significance</title><author>Ergaz, Zivanit ; Bar-Oz, Benjamin ; Yatsiv, Ido ; Arad, Ilan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4610-6e9270daae037362c38aa875a5ff1aed1b60a232b38232e1327a93c98f0c5e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>chylothorax</topic><topic>Chylothorax - complications</topic><topic>Chylothorax - congenital</topic><topic>Chylothorax - diagnosis</topic><topic>Chylothorax - therapy</topic><topic>congenital malformations</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>General aspects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>hydrops fetalis</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>neonate</topic><topic>Pneumology</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prognosis</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ergaz, Zivanit</creatorcontrib><creatorcontrib>Bar-Oz, Benjamin</creatorcontrib><creatorcontrib>Yatsiv, Ido</creatorcontrib><creatorcontrib>Arad, Ilan</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ergaz, Zivanit</au><au>Bar-Oz, Benjamin</au><au>Yatsiv, Ido</au><au>Arad, Ilan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Congenital chylothorax: Clinical course and prognostic significance</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr. Pulmonol</addtitle><date>2009-08</date><risdate>2009</risdate><volume>44</volume><issue>8</issue><spage>806</spage><epage>811</epage><pages>806-811</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><coden>PEPUES</coden><abstract>Objective
To determine the underlying etiology, associated malformations, clinical course, and prognostic significance of congenital chylothorax.
Study design
A retrospective analysis of 11 neonates admitted to our neonatal intensive care unit with congenital chylothorax between January 2000 and June 2008. The post‐discharge clinical and developmental course was evaluated by a telephone survey performed in July 2008.
Results
Antenatal diagnosis was established in 9 out of 11 infants by ultrasound examination; 5 had intrauterine pleural drainage. Eight infants had either structural or chromosomal abnormalities. The postnatal treatment included mechanical ventilation, drainage of pleural fluid and feeding with enriched medium chain triglyceride formula. Somatostatin was administered in one case. Six patients developed nosocomial infections. Two patients died after resolution of the chylothorax from deteriorating renal failure. Seven patients were traced for follow up and six of them achieved age appropriate developmental milestones.
Conclusion
The recovery from chylothorax and future prognosis were dependent on the underlying etiology. Chylothorax was often a secondary event, with apparently favorable clinical and developmental prognosis when the underlying or/and associated condition was treatable. Pediatr Pulmonol. 2009; 44:806–811. © 2009 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19598277</pmid><doi>10.1002/ppul.21070</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences chylothorax Chylothorax - complications Chylothorax - congenital Chylothorax - diagnosis Chylothorax - therapy congenital malformations Diseases of mother, fetus and pregnancy Female General aspects Gynecology. Andrology. Obstetrics Humans hydrops fetalis Infant Infant, Newborn Male Medical sciences neonate Pneumology Pregnancy. Fetus. Placenta Prognosis Respiratory system : syndromes and miscellaneous diseases Ultrasonography, Prenatal |
| title | Congenital chylothorax: Clinical course and prognostic significance |
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