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Year : 2019  |  Volume : 7  |  Issue : 1  |  Page : 32-35

Successful use of octreotide and limited drainage in resistant chylothorax in congenital diaphragmatic hernia

1 Department of Pediatric Surgery, Maternity and Children's Hospital, Najran, Saudi Arabia
2 Department of Neonatology, Maternity and Children's Hospital, Najran, Saudi Arabia

Correspondence Address:
Dr. Rajendran Ramaswamy
Department of Pediatric Surgery, Maternity and Children's Hospital, PB No. 3600, Najran
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssj.ssj_15_18

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In the conservative treatment of postdiaphragmatic hernia chylothorax, use of octreotide (OCT) had variable results. Limited chyle drainage has not been tried. A newborn, after the left Bochdalek diaphragmatic hernia repair, developed chylothorax. Treatment with intercostal chest tube (ICT) drainage, partial parenteral nutrition (PPN), and medium-chain triglyceride (MCT) with formula feeds was ineffective. ICT slipped out on the 13th day in the presence of significant residual chylothorax. Further drainage was not done. Addition of OCT infusion at maximum dose of 6 μg/kg/h cleared the chylothorax. No side effect of OCT was observed. The present case has proved that MCT feeding along with PPN is effective, and limited drainage of chyle is enough with OCT treatment in postdiaphragmatic hernia chylothorax.

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