Congenital chylous ascites: A report of a case treated with hemostatic cellulose and fibrin glue

Moreira, Daniel de Albuquerque Rangel; Santos, Marcela de Souza; Tannuri, Ana Cristina Aoun; Tannuri, Uenis

doi:10.1016/j.jpedsurg.2012.11.031

Cited by 12 publications

(17 citation statements)

References 11 publications

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“…MCT was used before, after, and during treatment . In the multicenter case series by Bellini et al ., MCT was reportedly performed in 14 patients without adverse effects.…”

Section: <Summary>mentioning

confidence: 99%

“…Consequently, we used the results and discussion of 27 papers judged for the preparation of the draft recommendation were integrated although evidence was insufficient for the evaluation of this CQ. <Review of observational studies (case series)> As for causes of chylous ascites, congenital chylous ascites, [327][328][329][330][331][332][333][334][335][336][337][338][339][340][341][342] idiopathic chylous ascites, 328 chylous ascites after laparotomy, [343][344][345][346] protein-losing enteropathy, 345 LM, 347,348 lymphangiectasis, 349,350 lymphangiomatosis, 351,352 and lymphatic dysplasia 353 were reported. None of the papers evaluated treatments according to the cause.…”

Section: <Summary>mentioning

confidence: 99%

“…MCT was used before, after, and during treatment. 327,328,[330][331][332][333][334][335]337,[339][340][341]343,345,346,[348][349][350][351][352] In the multicenter case series by Bellini et al, 327 MCT was reportedly performed in 14 patients without adverse effects.…”

Section: Conservative Treatmentsmentioning

confidence: 99%

“…328,329,336,343 When the leakage site can be identified, ligation, suturing, clipping, and cauterization have been performed. 328,334,336,343,350 In addition to reports of the usefulness of techniques to stop leakage, such as applying or sprinkling fibrin glue at the leakage site of chylous ascites or over the surrounding retroperitoneum 329,331,343,350 and applying a patch of oxidized cellulose/resorbable local hemostatic agent, 331,343 there have also been reports of peritoneovenous shunting 349,353 and peritoneoamniotic shunting for fetal cases. 338 There was no large clinical study in the past literature.…”

Section: Abdominal Drainage Abdominal Puncture and Surgical Treatmentmentioning

confidence: 99%

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Japanese clinical practice guidelines for vascular anomalies 2017

Mimura

Akita

Fujino

et al. 2020

Pediatrics International

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The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety, and systematizing treatment, employing evidence‐based medicine (EBM) techniques and aimed at improvement of the outcomes. Clinical questions (CQs) were decided based on the important clinical issues. For document retrieval, key words for literature searches were set for each CQ and literature published from 1980 to the end of September 2014 was searched in Pubmed, Cochrane Library, and Japana Centra Revuo Medicina (JCRM). The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution System (MINDS) technique. A total of 33 CQs were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy, and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, and pathological diagnosis deciding the diagnosis. Thus, the Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 have been prepared as the evidence‐based guidelines for the management of vascular anomalies.

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“…MCT was used before, after, and during treatment . In the multicenter case series by Bellini et al ., MCT was reportedly performed in 14 patients without adverse effects.…”

Section: <Summary>mentioning

confidence: 99%

Section: <Summary>mentioning

confidence: 99%

Section: Conservative Treatmentsmentioning

confidence: 99%

Section: Abdominal Drainage Abdominal Puncture and Surgical Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Japanese clinical practice guidelines for vascular anomalies 2017

Mimura

Akita

Fujino

et al. 2020

Pediatrics International

View full text Add to dashboard Cite

show abstract

“…Laparotomy and ligation of chylous fistulae have been reported infrequently for refractory cases [2,7]. Intraoperative topical application of fibrin sealants [5,8] has been reported with variable successes, but we have not found its usefulness as a prophylaxis in a few of our earlier patients. Less invasive treatment with peritoneo-venous shunts has also been reported [6,9,10].…”

Section: Discussionmentioning

confidence: 78%