2015, Number 615
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Rev Med Cos Cen 2015; 72 (615)
Quilotórax
Villalobos MC, Mora HGA
Language: Spanish
References: 11
Page: 385-389
PDF size: 162.11 Kb.
ABSTRACT
Chylothorax occurs when
there is rupture, laceration
or obstruction of the thoracic
duct or its main tributaries,
resulting in the release of chyle
into the pleural space. It most
commonly occurs from trauma
or malignancy, but other causes
have been described. Diagnosis
involves thoracocentesis and
cholesterol and triglyceride
measurement in the pleural
fluid. Complications
include malnutrition,
immunosuppression and
respiratory distress. Treatment
may be either conservative or
aggressive depending on the
clinical scenario.
REFERENCES
Bryant A, Minnich D, Wei B, Cerfolio R. The Incidence and Management of Postoperative Chylothorax After Pulmonary Resection and Thoracic Mediastinal Lymph Node Dissection. The Annals of Thoracic Surgery. Volume 98, Issue 1, July 2014, Pages 232–237.
Candas F, Yildizhan A, Gorur R, Isitmangil T.Is bilateral chylothorax possible after simple cough? Yes. Asian Cardiovascular Thoracic Annals. 2014 Jun 13.
Csiszkó A, Herr G, Kiss S, Hallay J, Gyöngyösi Z, Szentkereszty Z. VATS therapy of chylothorax caused by leiomyomatosis complicated with tuberous sclerosis complex. J Minim Access Surg. 2013 Apr-Jun; 9(2): 84–86.
López M, Luengo M, Rangel J, Liso F. Eficacia y seguridad del octreótide asociado a nutrición parenteral totalen el tratamiento conservador del quilotórax. NutriciónHospitalaria. 2012;27 (3):948-949.
Maldonado F, Hawkins FJ, Daniels CE, et al. Pleural fluid characteristics of chylothorax.Mayo ClinProc 2009; 84:129.
McGrath E, Blades Z, Anderson P, Chylothorax: Aetiology, diagnosis and therapeutic options. Respiratory Medicine (2010) 104, 1e8.
Nair SK, Petko M, Hayward MP. Aetiology and management ofchylothorax in adults.Eur J CardiothoracSurg 2007;32(2):362e9.
Pego-Fernandes P, Boldrini M, Ranzani O, Satsuki M, Monteiro R, Biscegli F. Video-assisted thoracoscopy as an option in the surgical treatment of chylothorax after cardiac surgery in children. J Bras Pneumol. 2011;37(1):28-35.
Sirvent M, López P, Martinez M. Soporte nutricional y tratamiento con octreotido del quilotórax.Nutrición Hospitalaria 2010; 25: 113-119.
Talwar A, Lee H. A Contemporary Review of Chylothorax.The Indian Journal of Chest Diseases & Allied Sciences2008; Vol. 50.
Thomas R, Lee Y. Management of Benign and Malignant Pleural Effusions.Thoracic Surgery Clinics. Volume 23, Issue 1, February 2013, 25–42.