Medium-Chain Triglycerides and Total Parenteral Nutrition in the Management of Infants With Congenital Chylothorax
AbstractABSTRACT: Enriched MCT (medium-chain triglycerides) formula has been used in the management of infants with congenital chylothorax (CC). Administration of total parenteral nutrition (TPN) has also been suggested. I evaluated the effect of these two regimens on the course of infants with CC described in the literature, in addition to two new cases reported herein. There were 29 infants who received non-MCT formulas. Twelve infants were given MCT formulas and/or parenteral nutrition. The total volume and duration of pleural effusion were decreased with these regimens, and there were no associated deaths. Data suggest that infants with CC must initially be given an enriched MCT formula. If pleural effusion persists, then total parenteral nutrition should be considered.
This content is limited to qualifying members.
If you have an existing account please login now to access this article or view your purchase options.
Create a free account, then purchase this article to download or access it online for 24 hours.
Create a free account, then purchase a subscription to get complete access to all articles for a full year.