Peripheral parenteral nutrition in a case of chyle leak following neck dissection.
Chylothorax is an uncommon condition which is potentially life-threatening if untreated. The following case study of a 75-year-old man with chyle leak following surgery shows how prompt dietetic action prevented further compromise in immune function and nutritional status. Dietetic recommendation to minimize enteral intake rapidly stopped chyle flow and promoted wound closure. Peripheral parenteral nutrition (PPN) was administered in order to prevent malnutrition. There is limited literature available for evidence of best practice for cases of chyle leakage, however, this particular case demonstrates PPN should be considered despite the potential risks.
Morris
S A
SA
Department of Nutrition and Dietetics, Frenchay Hospital, Bristol, UK. samantha.morris@north-bristol.swest.nhs.uk
Taylor
S J
SJ
D000368:Aged; D002913:Chyle; D002916:Chylothorax / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000601:surgery; D037981:Neck Dissection / Q000009:adverse effects*; D010288:Parenteral Nutrition; D014945:Wound Healing