title: Successful management of chylous ascites with total parenteral nutrition and octreotide in children.
abstract: OBJECTIVE
  To evaluate the effects of total parenteral nutrition and octreotide on pediatric patients with chylous ascites post-operative.
  
  
  METHODS
  Four patients were diagnosed with chylous ascites from Nov 2009 to Nov 2012. Total parenteral nutrition and octreotide was administered to 2 patients, while the other two only received fasting and total parenteral nutrition. All patients had persistent peritoneal drainage, with the quantity and quality of drainage fluid observed daily.
  
  
  RESULTS
  Two patients who received somatostatin therapy completely recovered within 7d without any recurrence while on a normal diet. The other two patients who only received fasting and total parenteral nutrition was cured 24-30 d after therapy.
  
  
  CONCLUSIONS
  Total parenteral nutrition along with octreotide can relieve the symptoms and close the chyle leakage in patients with chylous ascites rapidly. It seems to be an effective therapy available for the treatment of chylous ascites.
authors: Department of Pediatric surgical oncology. Children's Hospital of Chongqing Medical University. Chongqing. China. smartboyyc@sina.com.
authors: Chao
authors: C
authors: Yang
authors: Department of Pediatric surgical oncology. Children's Hospital of Chongqing Medical University. Chongqing. China. smartboyyc@sina.com.
authors: Jun
authors: J
authors: Zhang
authors: Department of Pediatric surgical oncology. Children's Hospital of Chongqing Medical University. Chongqing. China. smartboyyc@sina.com.
authors: Shan
authors: S
authors: Wang
authors: Department of Pediatric surgical oncology. Children's Hospital of Chongqing Medical University. Chongqing. China. smartboyyc@sina.com.
authors: Chang-chun
authors: CC
authors: Li
authors: Department of Pediatric surgical oncology. Children's Hospital of Chongqing Medical University. Chongqing. China. smartboyyc@sina.com.
authors: Xiang-ru
authors: XR
authors: Kong
authors: Department of Pediatric surgical oncology. Children's Hospital of Chongqing Medical University. Chongqing. China. smartboyyc@sina.com.
authors: Zhenzhen
authors: Z
authors: Zhao
mesh_terms: D002675:Child, Preschool; D002915:Chylous Ascites / Q000188:drug therapy* / Q000628:therapy*; D005260:Female; D005765:Gastrointestinal Agents / Q000627:therapeutic use*; D006801:Humans; D007223:Infant; D008297:Male; D015282:Octreotide / Q000627:therapeutic use*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011183:Postoperative Complications / Q000188:drug therapy / Q000628:therapy
chemical_list: D005765:Gastrointestinal Agents; D015282:Octreotide