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ChyloBEST: Chylothorax in Infants and Nutrition with Low-Fat Breast Milk.
Pediatr Cardiol. 2020 Jan; 41(1):108-113.PC

Abstract

Chylothorax occurs in 2.8-5% of infants after cardiac surgery and can increase morbidity and mortality. First-line conservative treatment consists of a chest tube drainage and a fat-free and medium-chain triglyceride (MCT)-enriched diet. This typically leads to a discontinuity of breast milk feeding due to high content of long-chain triglycerides within the breast milk. Modified breast milk with low fat content (LFBM) could provide numerous benefits like immunological properties of breast milk even for patients with chylothorax. This study was conducted at Herzzentrum Leipzig comparing clinical and growth outcomes between infants with chylothorax after surgery for congenital heart disease treated with LFBM (n = 13) versus MCT-Formula (n = 10). LFBM was prepared by centrifugation of native breast milk added with MCT-oil and fortifier. There were no differences in volume and duration of chest tube drainage between LFBM and MCT-formula treatment groups. Furthermore, no statistically significant differences with regard to weight and length gains could be observed between both feeding groups. LFBM is an efficient and unharmful treatment for chylothorax following cardiac surgery in young children.

Authors+Show Affiliations

Klinik für Kinderkardiologie, Herzzentrum Leipzig, Strümpellstraβe 39, 04289, Leipzig, Germany. Lisa.Neumann2@helios-gesundheit.de.Klinik für Kinderkardiologie, Herzzentrum Leipzig, Strümpellstraβe 39, 04289, Leipzig, Germany.Klinik für Kinderkardiologie, Herzzentrum Leipzig, Strümpellstraβe 39, 04289, Leipzig, Germany.Klinik für Herzchirurgie, Herzzentrum Leipzig, Stümpellstraβe 39, 04289, Leipzig, Germany.Klinik für Kinderkardiologie, Herzzentrum Leipzig, Strümpellstraβe 39, 04289, Leipzig, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31729543

Citation

Neumann, Lisa, et al. "ChyloBEST: Chylothorax in Infants and Nutrition With Low-Fat Breast Milk." Pediatric Cardiology, vol. 41, no. 1, 2020, pp. 108-113.
Neumann L, Springer T, Nieschke K, et al. ChyloBEST: Chylothorax in Infants and Nutrition with Low-Fat Breast Milk. Pediatr Cardiol. 2020;41(1):108-113.
Neumann, L., Springer, T., Nieschke, K., Kostelka, M., & Dähnert, I. (2020). ChyloBEST: Chylothorax in Infants and Nutrition with Low-Fat Breast Milk. Pediatric Cardiology, 41(1), 108-113. https://doi.org/10.1007/s00246-019-02230-z
Neumann L, et al. ChyloBEST: Chylothorax in Infants and Nutrition With Low-Fat Breast Milk. Pediatr Cardiol. 2020;41(1):108-113. PubMed PMID: 31729543.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - ChyloBEST: Chylothorax in Infants and Nutrition with Low-Fat Breast Milk. AU - Neumann,Lisa, AU - Springer,Tina, AU - Nieschke,Kathleen, AU - Kostelka,Martin, AU - Dähnert,Ingo, Y1 - 2019/11/15/ PY - 2019/07/21/received PY - 2019/10/17/accepted PY - 2019/11/16/pubmed PY - 2020/4/25/medline PY - 2019/11/16/entrez KW - Breast milk KW - Cardiac surgery KW - Chylothorax KW - Congenital heart disease KW - Infants SP - 108 EP - 113 JF - Pediatric cardiology JO - Pediatr Cardiol VL - 41 IS - 1 N2 - Chylothorax occurs in 2.8-5% of infants after cardiac surgery and can increase morbidity and mortality. First-line conservative treatment consists of a chest tube drainage and a fat-free and medium-chain triglyceride (MCT)-enriched diet. This typically leads to a discontinuity of breast milk feeding due to high content of long-chain triglycerides within the breast milk. Modified breast milk with low fat content (LFBM) could provide numerous benefits like immunological properties of breast milk even for patients with chylothorax. This study was conducted at Herzzentrum Leipzig comparing clinical and growth outcomes between infants with chylothorax after surgery for congenital heart disease treated with LFBM (n = 13) versus MCT-Formula (n = 10). LFBM was prepared by centrifugation of native breast milk added with MCT-oil and fortifier. There were no differences in volume and duration of chest tube drainage between LFBM and MCT-formula treatment groups. Furthermore, no statistically significant differences with regard to weight and length gains could be observed between both feeding groups. LFBM is an efficient and unharmful treatment for chylothorax following cardiac surgery in young children. SN - 1432-1971 UR - https://www.unboundmedicine.com/medline/citation/31729543/ChyloBEST:_Chylothorax_in_Infants_and_Nutrition_with_Low-Fat_Breast_Milk L2 - https://dx.doi.org/10.1007/s00246-019-02230-z DB - PRIME DP - Unbound Medicine ER -