Chylothorax

01/01/2021 - "Both low- and high-doses of octreotide are effective in resolving chylothorax with little to no side effects. "
01/01/2018 - "Octreotide was effective in 47% of patients, with a slight but not significant difference between congenital (30/57; 53.3%) and acquired (9/27; 33.3%) chylothorax (P = 0.10). "
01/01/2016 - "Octreotide is effective against postsurgical chylothorax; however, if there are no signs of improvement, we believe surgical treatment should be considered. "
06/01/2015 - "We concluded that octreotide is effective in the management of moderate to large volume chylothorax. "
06/01/2015 - "Twelve case reports found octreotide effective in reduction of the volume and arrest of chylothorax. "

04/01/2011 - "Further observations are needed before somatostatin can be recommended as a standard first-line treatment procedure for chylothorax in infants."
03/01/2002 - "Somatostatin seems effective in the management of chylothorax, although its mechanism of action is unclear. "
01/01/2012 - "This is the first paediatric report of the use of somatostatin analogues to manage chylothorax in Generalised Lymphatic Dysplasia and we conclude that they represent a potentially useful treatment modality. "
01/01/2012 - "Use of somatostatin analogues to treat chylothorax in a child with Generalised Lymphatic Dysplasia."
10/01/2011 - "There were two patients (22%) with chylothorax who received somatostatin administration; one was successful and the other one failed. "

08/01/2016 - "Human milk is usually eliminated from the diet of infants with chylothorax because of its high long-chain triglyceride content. "
12/01/2015 - "Chylothorax was improved by thoracic drainage and nutrition management, such as fasting followed by medium-chain triglyceride milk. "
11/01/2014 - "Post-operative chylothorax can be cured by a medium-chain triglyceride (MCT)-rich diet. "
03/01/2011 - "The chylothorax improved after fasting and implementation of a medium-chain triglyceride diet. "
12/13/2010 - "To analyze risk factors for chylothorax in infants after congenital heart surgery and the efficacy of median chain triglyceride diet (MCT). "

01/01/2016 - "If LAG successfully cured chylothorax, chest drain output would decrease dramatically and the leaked lipiodol could be confirmed near the leak point in plain computerized tomography (CT) in the following 1-2days. "
01/01/2021 - "The purpose of this study is to evaluate the safety and efficacy of intranodal lymphangiography (INL) with high-dose ethiodized oil in patients with postoperative refractory chylothorax. "
01/01/2022 - "Isolated neonatal chylothorax can be treated successfully with oil-based contrast (lipiodol) embolization. "
01/01/2021 - "Conclusion: Transpedal lymphangiography with high-dose ethiodized oil application (>20 ml) is a feasible, safe, and effective modality for the treatment of high-flow (> 1,000 ml/day) postoperative chylothorax."
05/01/2004 - "Diagnostic Lipiodol lymphography was required before the chylothorax was cured. "

07/01/2003 - "Fibrin glue has been shown to be effective in improving postoperative chylothorax following various thoracic procedures and in reducing lymphorrhea after axillary dissection. "
12/01/2020 - "Platelet-rich plasma fibrin glue for treatment of chylothorax following cavopulmonary connections."
09/01/2017 - "To our knowledge, this is the first report of postoperative chylothorax successfully treated by the use of a fibrin sealant patch."
09/01/1998 - "[Postoperative chylothorax treated with fibrin glue and absorbent mesh: a case report]."
09/01/1994 - "Control of the chylothorax was achieved by a parietal pleurectomy and application of fibrin glue (Tisseel). "

10/01/1993 - "Application of OK-432, even in such a small dose as 1.5 KE, appeared very useful for the treatment of postoperative chylothorax."
01/01/2019 - "Fourteen cases, all chylothorax, were treated with OK-432. "
01/01/2019 - "OK-432 Treatment of Early Fetal Chylothorax: Pregnancy Outcome and Long-Term Follow-Up of 14 Cases."
05/01/2012 - "Intrapleural instillation of OK-432 has recently been used to successfully treat neonatal and fetal chylothorax. "
04/01/2012 - "Intrapleural injection of OK-432 as the primary in-utero treatment for fetal chylothorax."

09/01/2013 - "The remaining 7 patients had chylous effusion at the start of sirolimus treatment; the chylothorax resolved completely within 1-5 months of treatment in 6 of these cases. "
06/01/2023 - "Given quick reaccumulation of chylothorax, she was started on sirolimus. "
01/01/2022 - "In this retrospective study at Texas Children's Hospital, data were extracted for all infants with chylothorax who were treated with sirolimus between 2009 and 2020. "
06/01/2015 - "We conclude that sirolimus should be considered in the management of pLAM-related chylothorax, perhaps before surgical intervention. "
06/01/2015 - "Discontinuation of sirolimus for abdominal surgery led to recurrence of the chylothorax. "

01/01/2017 - "TDE was effective for the management of leakage of the collaterals in high-output chylothorax after thoracic surgery."
01/01/2022 - "To evaluate clinical outcomes of thoracic duct embolization (TDE) for the management of postoperative chylothorax with the aid of the bail-out retrograde approach for thoracic duct cannulation (TDC). "
09/09/2021 - "TDE seems like a safe percutaneous treatment technique with a high clinical success rate in iatrogenic chylothorax patients which can be readily implemented if the clinical experience is available.."
09/09/2021 - "The records of all patients treated for chylothorax with TDE from April 2015 to June 2019 were reviewed. "
08/21/2020 - "The clinical success rate of TDE was 87.8% (7/8).Conventional lymphangiography and TDE yielded high technical success rates and demonstrated encouraging clinical outcomes for chylothorax complicating thoracic aortic surgery."

02/01/2021 - "With the application of talc poudrage, the chylothorax completely resolved. "
11/01/1999 - "Four spontaneous chylothorax cases were treated by VATS and talc pleurodesis with immediate positive results. "
10/01/2020 - "Resolution of refractory chylothorax with a combination of talc pleurodesis and CPAP."
06/01/2007 - "Talc pleurodesis in the treatment of chylothorax following mitral valve replacement."
01/01/2007 - "The chylothorax resolved following pleurodesis with talc slurry, and the innominate vein was recanalized by angioplasty. "

04/01/2022 - "More research and reporting on the use of steroids in the treatment of chylothorax post-cardiac surgeries in children is needed to prove its effectivity. "
04/01/2022 - "Although several treatment lines are known for the management of chylothorax, steroids were scarcely reported as a treatment option. "
04/01/2022 - "The use of steroids in treating chylothorax following cardiac surgery in children: a unique perspective."
04/01/2022 - "In this article, we describe a case of chylothorax post-Fontan procedure that supports the use of steroids."
12/01/1996 - "Complete and permanent remission of the chylothorax was achieved within only ten days following talcum pleurodesis, alimentary measures and induction of systemic steroid therapy. "

06/01/2023 - "After initiating therapy, there was a significant improvement in the patient's symptoms, with no recurrence of chylothorax in the five years of follow-up. "
01/01/1985 - "Thoracic drainage and lowfat dietary therapy was effective in removing and preventing significant recurrence of the chylothorax; however, the patient died unexpectedly. "
04/01/2016 - "We found that infants whose chylothorax was diagnosed ≤ 34 weeks of gestation, and who subsequently received prenatal therapy, experienced a better perinatal condition and exhibited improved postnatal outcomes."
06/01/2008 - "Is oral nutritional therapy effective for the treatment of chylothorax? "
01/01/2024 - "Lymphography-guided therapy for chylothorax with a verified leak has the potential to be both effective and safe. "

01/01/2018 - "Retroperitoneoscopic ligation resulted in a complete and lasting chylothorax resolution in three patients and marked improvement in a fourth one. "
11/01/2010 - "Ligation of cisterna chyli may represent a safe and effective ultimate treatment in children with persistent chylothorax."
04/01/2018 - "Prophylactic ligation of the thoracic duct in our study did not reduce the incidence of chylothorax. "
12/01/2013 - "In this study, we describe the technique of transabdominal mass ligation of the thoracic duct as an elective, simple and safe method for the prevention of postoperative chylothorax. "
01/01/2012 - "We conclude that for patients undergoing oesophagectomy, although there are conflicting results from retrospective studies, prospective randomised controlled trial evidence points to prophylactic ligation of the thoracic duct as an effective measure to reduce the incidence of post-operative chylothorax."

03/01/2021 - "Lymphography with aspiration of the cisterna chyli and thoracic duct embolization is a technique with low morbidity that provides good results for the resolution of chylothorax after esophagectomy."
07/01/2004 - "We present a case of intractable high-volume (> 2L/d) chylothorax after transhiatal esophagectomy treated successfully with the simultaneous insertion of both Denver (Denver Biomedical, Golden, CO) and LeVeen (Becton-Dickinson, Rutherford, NJ) pleuroperitoneal shunts. "
12/01/2001 - "Thoracoscopy is a safe and effective procedure for the treatment of chylothorax complicating esophagectomy. "
01/01/2022 - "It may help to prevent the dreaded complication of post-operative chylothorax after esophagectomy."
02/01/2015 - "Chylothorax after esophagectomy cured by intranodal lymphangiography: a case report."

06/01/2021 - "Patients in the vessel sealing group who developed chylothorax were cured by conservative treatment. "
08/05/2021 - "Although prospective randomized trials have not been performed, radiological interventions have been performed in several cases with persistent chylothorax, adjunct to 2 weeks of conservative management. "
12/01/2019 - "This study aimed to compare radiological interventions and conservative management in patients with postoperative chylothorax. "
09/01/2008 - "One week of intensive conservative therapy trial with simultaneous preoperative preparation and subsequent shift to surgical intervention constitutes an optimal tactical principle in the persisting chylothorax treatment."
08/01/2023 - "Conservative treatments can solve most chylothorax, but refractory chylothorax can be challenging to manage. "

10/01/2019 - "To introduce a modified pleurodesis as an effective treatment for refractory chylothorax and to develop a novel insight for its mechanism. "
01/01/2021 - "For the management of refractory chylothorax, lymphangiography, thoracic duct embolization, and pleurodesis were performed, and the chylothorax improved immediately. "
01/01/2012 - "To assess the use and efficacy of in-utero pleurodesis for experimental treatment of bilateral fetal chylothorax. "
02/01/2014 - "In the present study, we investigated the effectiveness of a conservative approach (diet or pleurodesis) to the management of chylothorax. "
10/01/2022 - "Complete resolution of chylothorax was eventually achieved by IVR procedures or pleurodesis in all patients. "