Med Bull Sisli Etfal Hosp. 2012; 46(1): 26-29

Octreotide treatment in neonatal chylothorax: a case report

Muhittin Çelik¹, Ali Bülbül¹, Sinan Uslu¹, Nihat Sever², Emrah Can^1
1Department of Neonatology, Þiþli Etfal Training and Research Hospital, Istanbul,Turkey
²Department of Pediatric Surgery, Þiþli Etfal Training and Research Hospital, Istanbul,Turkey

Chylothorax is defined as accumulation of chylous fluid in pleural cavity which may be caused by congenital and acquired diseases. During neonatal period, chylothorax treatment is composed of conservative( pleural drainage, termination of enteral feeding, total parenteral nutrition and supplementation with medium-chain triglycerides) and surgical therapies(ductus thoracicus ligation, pleuredesis). Nowadays, for cases among which conservativ therapies fail, treatment with octreotide has been reported to be beneficial with promising results. A neonate who developed chylothorax after congenital diaphragmatic hernia operation and who was successfully treated with octreotide after failure of conservative treatment is presented in this case report.

Keywords: Neonate, chylothorax, octreotide, congenital diaphragmatic hernia

---

Yenidoðan þilotoraks tedavisinde oktreotid kullanýmý: Olgu sunumu

Muhittin Çelik¹, Ali Bülbül¹, Sinan Uslu¹, Nihat Sever², Emrah Can^1
1Neonatoloji Kliniði, Þiþli Etfal Eðitim ve Araþtýrma Hastanesi, Ýstanbul
²Çocuk Cerrahisi Kliniði, Þiþli Etfal Eðitim ve Araþtýrma Hastanesi, Istanbul

Þilotoraks; konjenital veya edinsel nedenlerle, plevral boþlukta þilöz mayi birikimidir. Yenidoðan döneminde þilotoraks tedavisinde konservatif yaklaþýmlar (plevral drenaj, enteral beslenmenin kesilmesi, total parenteral nutrisyon, orta zincirli trigliserid ile beslenme) ve cerrahi yöntemler (duktus torasikus ligasyonu, pleuro-peritoneal þant veya plörodesis) kullanýlmaktadýr. Günümüzde konservatif yaklaþýmlarla sonuç alýnamayan olgularda, oktreotid tedavisi ile baþarýlý sonuçlar alýndýðý bildirilmektedir. Bu yazýda, yenidoðan döneminde konjenital diyafragma hernisi operasyonu sonrasý þilotoraks geliþen, konservatif yöntemlerle yanýt alýnamayan, oktreotid verilerek baþarýyla tedavi edilen bir olgu sunuldu.

Anahtar Kelimeler: Yenidoðan, þilotoraks, oktreotid, konjenital diyafragma hernisi

---

CITE