Nutritional aspects in patients with chylothorax in conservative treatment on enteral diet.
DOI:
https://doi.org/10.12873/423peregrinoKeywords:
Chylothorax; Nutritional Status; Enteral Nutrition; Conservative Treatment.Abstract
Introduction: Chylothorax or chylous pleural effusion is a rare condition characterized by the accumulation of chyle, also known as lymph, in the pleural space. It occurs mainly due to surgical procedures or changes in the lymphatic duct, such as obstruction caused by neoplasms. Goal: Analyze the nutritional evolution of children hospitalized with chylothorax using an enteral diet rich in medium-chain triglycerides (MCT) and free of long-chain triglycerides (LCT). Material and methods: This is a retrospective and longitudinal study, carried out by consulting medical records located in the Medical Archive and Statistics Sector (SAME) of a co-participating philanthropic institution for analysis. Results: Of the total sample (n=18), 100% surpassed chylothorax only with the enteral diet rich in MCT and free of LCT, without the need for the use of medication (octreotide), surgical intervention and/or total parenteral nutrition. As for the influence of nutritional status, the parameter of weight for age at admission was inversely proportional (p=0.025) to the length of stay in days. Conclusion: The nutritional status at admission can be determinant for the development of chylothorax and length of hospital stay. The MCT-rich and LCT-free enteral diet is an effective and non-harmful treatment option for children. Therefore, it is extremely important to assess and monitor the nutritional status of these patients.
References
Maia I, Xará S, Dias I, Neves S. Abordagem nutricional no doente com quilotórax. Revista Nutrícias. 2014;19:32-34.
Dias FC, Rosa MA. Quilotórax em recém-nascido: relato de caso. Residência Pediátrica. 2014;2(4):73-75.
Santana CM. Dieta enteral fonte em triglicerídeo de cadeia média como coadjuvante terapêutico em um caso de quilotórax bilateral secundário à linfoma folicular. Nutricion Clinica y Dietetica Hospitalaria. 2018;(1):170-174. doi: http://dx.doi.org/10.12873/381BSoares.
Karagianis J, Sheean PM. Managing secondary chylothorax: the implications for medical nutrition therapy. Journal Of The American
Dietetic Association. 2011;111(4):600-604. doi: http://dx.doi.org/10.1016/j.jada.2011.01.014.
Solís-Torres J, Méndez-Jimenez E. Quilotórax bilateral posterior a trauma de tórax cerrado. Acta Médica Costarricense. 2014;53(3):125-127.
Riley LE, Ataya A. Clinical approach and review of causes of a chylothorax. Respiratory Medicine. 2019;157:7–13. doi:10.1016/j.rmed.2019.08.014
Rocha G, Arnet V, Soares P, Gomes AC, Costa S, Guerra P, et al. Chylothorax in the neonate – a stepwise approach algorithm. Pediatric Pulmonology. 2021;1-13. doi:10.1002/ppul.25601
Varshney VK, Suman S, Garg PK, Soni SC, Khera PS. Management options for post-esophagectomy chylothorax. Surgery Today. 2020;1-8. doi:10.1007/s00595-020-02143-y
Ximenes CF, Jatene IB, Buononato PE, Elias PF, Pinto AC, Kok MF. Uso do Octreotide no Tratamento do Quilotórax e Quiloperitôneo.
Arquivo Brasileiro de Cardiologia. 2011;97(2):33-36. Doi: https://doi.org/10.1590/S0066-782X2011001100017
Neumann L, Springer T, Nieschke K, Kostelka M, Dähnert I. ChyloBEST: chylothorax in infants and nutrition with low-fat breast milk. Pediatric Cardiology. 2020;41(1):108-113. doi: 10.1007/s00246-019-02230-z.
Ribeiro VA, Alves TC, Fatal LB. Pacientes pediátricos hospitalizados: evolução do estado nutricional e fatores associados. BRASPEN. 2018; 32-38.
Silva EP, Tiengo A. Perfil nutricional de crianças hospitalizadas e sua relação com o período de internação em um hospital de ensino no
sul de Minas Gerais. Revista Ciências em Saúde. 2014;4(4):61-72. doi: http://dx.doi.org/10.21876/rcsfmit.v4i4.265.
Simões AP, Palchetti CZ, Patin RV, Mauri JF, Oliveira FL. Estado nutricional de crianças e adolescentes hospitalizados em enfermaria de cirurgia pediátrica. Revista Paulista de Pediatria. 2010;28(1):41-47. doi: https://doi.org/10.1590/S0103-05822010000100008
Downloads
Published
How to Cite
License
Copyright (c) 2022 Nutrición Clínica y Dietética Hospitalaria
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
