PMID: 9537566Apr 16, 1998Paper

Chylothorax after repair of congenital diaphragmatic hernia--risk factors and morbidity

Journal of Pediatric Surgery
V KavvadiaK H Nicolaides

Abstract

Chylothoraces have been reported rarely after congenital diaphragmatic hernia (CDH) repair, but that is contrary to the authors' experience. The aim of this study was to audit the outcome of antenatally diagnosed CDH cases to determine the incidence, possible risk factors, and morbidity associated with chylothorax in CDH patents. Twenty-four of 35 consecutive infants with CDH (69%) underwent surgical repair and survived the immediate postoperative period. Effusions developed in all 22 for whom chest radiographs were available. Six of the eight infants whose effusions required drainage had a chylothorax. Those six infants required a mean of 8 days of thoracentesis, during which a mean total volume of 358 mL/kg of fluid was removed. The infants remained on a medium-chain triglyceride (MCT) formula for a mean of 81 days. The six infants with a chylothorax differed from the rest with respect to their duration of oxygen dependence (a median of 28.5 versus 15 days, P < .05) and hospital stay (a median of 5.5 versus 4 weeks, P < .05), but no significant risk factors for the development of a chylothorax were identified. Chylothorax is a relatively common cause of effusion after CDH repair and is associated with increased morbidity.

References

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Citations

Aug 4, 2010·Pediatric Surgery International·Alejandro ZavalaJavier Kattan
Jun 5, 2003·Journal of Pediatric Surgery·M N HanekampR R Postema
Aug 2, 2003·Journal of Pediatric Surgery·Anju GoyalPaul D Losty
Jan 5, 2012·Orphanet Journal of Rare Diseases·Juan A Tovar
Dec 3, 2014·Seminars in Pediatric Surgery·Juan C Lopez-Gutierrez, Juan A Tovar
May 19, 2012·Journal of Pediatric Surgery·Jessica MillsUNKNOWN Canadian Pediatric Surgery Network (CAPSNet)
Aug 18, 2010·Journal of Pediatric Surgery·Hiroaki KomuroNoriko Hoshino
Apr 16, 2013·Journal of Pediatric Surgery·Shauna M LevyUNKNOWN Congenital Diaphragmatic Hernia Study Group
Nov 12, 2013·Journal of Pediatric Surgery·Melissa W LandisPaul S Kingma
Jun 16, 2009·Journal of Pediatric Surgery·Raquel GonzalezGeorge B Mychaliska
Mar 7, 2018·World Journal of Pediatrics : WJP·Karina Miura Costa, Amulya Kumar Saxena

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