Two-stage approach in the management of thoracic neuroenteric cyst with spinal extension: thoracoscopic excision following dorsal laminectomy

Dökümcü, Zafer; Uygun, Ozgun; Turhan, Tuncer; Yalaz, Mehmet; Özcan, Coşkun; Erdener, Ata

doi:10.1007/s00381-014-2553-x

Cited by 6 publications

(6 citation statements)

References 32 publications

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“…5. Conservative treatment Methods of conservative treatment were presented in 77 articles and referred to 531 children described in the chart 1 [2-3], [7], [11][12][13][14], [17], [19][20], [22][23], [25][26][27][28][29], [31][32][33], [35][36][37][38][39][40][41][42][43][44][45],…”

Section: Resultsmentioning

confidence: 99%

“…In case of unsuccessful treatment with MCT or in hemodynamically unstable patients with substantial pleural effusion, a prompt implementation of TNP is preferred. TPN, has been used as a first line dietary modification treatment in 35.2% of patients from the reviewed literature [7], [11], [12], [27], [37], [41], [45],…”

Section: Resultsmentioning

confidence: 99%

“…Treatment with somatostatin or octreotide has been implemented in more than half of the patients from the reviewed literature, in addition to dietary modifications (56,3%) and it achieved a desired therapeutic effect in 63.2 % of them. [2-3], [11][12], [17], [19][20], [25]- [28], [31]- [33], [37], [39], [41]- [43], [45], [52], [54]-[57], [62]- [64], [66], [70][71], [73], [77]- [80], [84], [86][87], [91][92], [95][96], [98], [103] Due to certain differences in pharmacokinetic properties and route of administration, octreotide is a more popular choice (79,9 % of patients) than somatostatin (10,4 %) [3], [11][12], [17], [19][20], [25]- [27], [31][32][33], [37], [39], [41]- [43], [45], [52],...…”

Section: Resultsmentioning

confidence: 99%

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Etiological factors and treatment of chylothorax in paediatric patients - a systematic review

Knop

Kochanowska

Piasecka

et al. 2022

J Educ Health Sport

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Chylothorax is an accumulation of chyle in the pleural cavity. It is a relatively rare cause of pleural effusion in children and its annual incidence is 14 cases per 100 000 children in Europe. The pleural fluid triglyceride level greater than 110 mg/dl with a cholesterol level lower than 200 mg/dl confirms the diagnosis of chylothorax. Medical imaging are also necessary such as a non-invasive and easily accessible lung ultrasound. Symptoms of this disease are tachypnea, dyspnea, and in some cases dry cough. This review aims to summarize the current literature regarding chylothorax in children, analyze its possible etiologies and treatments. The causes of chylothorax are varied. It may appear after surgical interventions, traumas, infections and also be congenital. Iatrogenic factors are the most common cause of chylothorax in children with cardiothoracic surgeries. Management of chylothorax can be quite complex and highly variable, depending on patient’s condition and their response to the introduced treatment. Conservative treatment consisting of nutrition therapy, chest drain, and pharmacotherapy is typically a first-line of treatment. Diet modification consist in dietary supplements enriched with medium chain triglycerides (MCT) or starting the patient on a total parenteral nutrition (TPN). In most of the analyzed cases the conservative treatment alone proved sufficient in the management of chylothorax. In case of its failure, surgical treatment was a secondary therapy choice. One of the most common surgical procedures for pleural effusion is a thoracic duct ligation (TDL) or pleurodesis and both of these methods are highly effective therapy for chylothorax. This review of the literature reveals a wide variety of causes and methods of treatment of chylothorax. There are no clear standards of management and the therapy is adjusted to the clinical condition of the patient.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Etiological factors and treatment of chylothorax in paediatric patients - a systematic review

Knop

Kochanowska

Piasecka

et al. 2022

J Educ Health Sport

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“…Bunun dışında, konjenital kalp hastalıkları (30,31) , trakeomalazi olgularında aortopeksi (32) ve özofagus atrezisi -trakeoözofageal fistülde fistül ligasyonu ve özofagoözofagostomide de (33) çok küçük yaştaki hastalarda bile torakoskopik yaklaşım sıklıkla yeğlen-mektedir. Spinal uzanımı bulunan torasik nöroenterik kist ve benzeri torasik lezyonlarda da torakoskopi başarıyla uygulanabilmektedir (34) .…”

Section: Klinik Endikasyonlarunclassified

Thoracoscopic Surgery in Children

Özcan¹

2017

tcdd

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“…It is relatively rare in clinical [2]. Such diseases occur in the spinal canal and intracranial in the vast majority [3]. Abdominal enteric cyst constrict nerve root compression, which lead to nerve root pain [4].…”

Section: Introductionmentioning

confidence: 99%