Use of octreotide in the treatment of chylopericardium

Szabados, Eszter; Tóth, Kálmán; Mezősi, Emese

doi:10.1016/j.hrtlng.2010.01.004

Cited by 21 publications

(17 citation statements)

References 7 publications

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“…Stężenie cholesterolu w chłonce jest takie same jak we krwi lub większe. Nakłucie osierdzia rzadko przynosi efekty, a skuteczną terapię stanowią radykalna perikardiektomia i leczenie choroby podstawowej [215,216].…”

Section: Gromadzenie Się Chłonki W Worku Osierdziowymunclassified

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

201

293

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Section: Gromadzenie Się Chłonki W Worku Osierdziowymunclassified

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

201

293

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“…Treatment is based on prevention of cardiac (pericarditis, electro-mechanical dissociation, cardiac tamponade), matabolic and immunological complications and it usually starts with a conservative and a dietary approach, associated with parenteral nutrition and octreotide administration (100 micrograms trice a day), thus reducing ileal absorption [6]. Ethylephrine increases lymphatic drainage by acting on the vessels'muscularis.…”

Section: Discussionmentioning

confidence: 99%

About idiopathic chylopericardium: a case report

Barone¹,

Prioletta²,

Cipollone³

et al. 2017

Lung Breath J

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Idiopathic chylopericardium is a rare clinical entity, whose precise etiology is still unclear and few cases are reported till this date. This case report describes the history, physical examination, evaluation, diagnosis and treatment of a 45-years-old male patient with primary idiopathic chylopericardium. Radiological findings and biochemical analysis of the pericardial fluid following pericardiocentesis sustained this diagnosis.

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“…Initially, patients should be treated with non-surgical measures, such as (1) pericardiocentesis; (2) pericardial drainage; (3) dietary support with a low-fat diet and initiation of MCTs, which are absorbed via the portal vein, rather than via the lymphatic vessels, or even with total parenteral nutrition; and (4) pharmacological therapy with octreotide, which has been shown to reduce intestinal absorption of fats [14]. …”

Section: Discussionmentioning

confidence: 99%

Primary idiopathic chylopericardium: a retrospective case series

Han

Jing

et al. 2015

BMC Surg

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BackgroundPrimary idiopathic chylopericardium is a rare clinical entity characterized by the accumulation of chyle within the pericardial cavity without a definitive cause. The aim of this study was to assess the clinical presentation, etiology, diagnosis, treatment and follow-up of primary idiopathic chylopericardium.MethodsWe retrospectively reviewed 9 cases of patients who suffered from primary idiopathic chylopericardium at our hospital from January 1993 to November 2013.ResultsThere were two males and seven females among our patients. Their ages ranged from 13 to 55 years. The most common clinical presentation was dyspnea. The etiology was idiopathic. All patients were diagnosed by pericardiocentesis, computed tomography of the chest and lymphoscintigraphy. Non-surgical therapy was adopted in all nine patients and failed in six, who underwent subsequent successful surgery. Thoracic duct ligation with the creation of a pericardial window was the most common surgical procedure. All patients were followed up from 3 months to 9 years, and no recurrence occurred.ConclusionsIn assessing patients with an enlarged cardiac silhouette, one should be aware of primary idiopathic chylopericardium. The most effective treatment is ligation of the thoracic duct and the creation of a pericardial window.

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Use of octreotide in the treatment of chylopericardium

Cited by 21 publications

References 7 publications

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

About idiopathic chylopericardium: a case report

Primary idiopathic chylopericardium: a retrospective case series

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