Case Series
Neonatal Chylothoraces: A 10-Year Experience in a Tertiary Neonatal Referral Centre
Table 2
Case series of neonatal chylothorax.
| Author and year | Number of neonates | Ventilation (days) | Number given MCT feeds | Number treated with octreotide and dose | Octreotide duration (days) | Octreotide efficacy | Pleurodesis or thoracic duct ligation |
| Altuncu et al. (2007) [5] | 3 | N/R | n = 3 | n = 1 (1–10 mcg/kg/hr) | 28 | No response | n = 1 | Matsukuma et al. (2009) [6] | 2 | N/R | n = 2 | n = 2 (0.5–10 mcg/kg/hr) | 16–20 | No response | n = 2 | Bellini et al. (2012) [7] | 30 | 30 | n = 28 | n = 6 (1–10 mcg/kg/hr) | 8–38 | Decreased chylous production, but not quantified | n = 1 | Horvers et al. (2012) [8] | 7 | 16 | n = 7 | n = 7 (2–12 mcg/kg/hr) | Median 22 (11–46) | Possible response in two neonates | n = 0 | Shah and Sinn (2012) [9] | 6 | 30 | n = 6 | n = 6 (0.5–10 mcg/kg/hr) | Median 20 (4–41) | Resolution in five neonates | n = 0 | Downie et al. (2013) [1] | 10 | 8 | n = 7 | n = 3 (3.5–10 mcg/kg/hr) | N/R | Response in two neonates: not quantified | n = 0 | Landis et al. (2013) [10] | 11 | 11 | N/R | n = 6 (1–13 mcg/kg/hr) | N/R | No response | n = 0 | Bialkowski et al. (2015) [2] | 28 | 23 | n = 25 | n = 7 (3–10 mcg/kg/hr) | Median 21 (10–45) | No response | n = 0 | Hua et al. (2016) [11] | 4 | 1 | N/R | n = 3 (N/A) | 14 | No response | n = 4 | Yin et al. (2017) [12] | 14 | 13 | n = 12 | n = 3 (1–6 mcg/kg/hr) | Median 6 | Average drain output significantly lower: three days after treatment. Median 62 ml versus 133 ml () | n = 0 | Shillitoe et al. (2018) [13] | 21 | N/R | n = 2 | n = 1 (maximum dose 10 mcg/kg/hr) | N/R | On the maximum dose there was a 50% reduction in five days | n = 0 | Zaki et al. (2018) [14] | 9 | N/R | n = 9 | n = 9 (1–10 mcg/kg/hr) | 5–66 | Resolution in three neonates: not quantified | n = 0 |
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N/R: not reported.
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