Dinh dưỡng sớm đường tiêu hoá cải thiện tình trạng dinh dưỡng ở trẻ rò dưỡng chấp nặng kéo dài: Báo cáo ca bệnh

Abstract

Chyle leak is a rare but persistent postoperative complication, leading to multiple adverse events such as malnutrition and immunodeficiency. Total parenteral nutrition is usually the preferred delivering method in chyle leaks. However it provides insufficient energy, can lead to infection and metabolic derangements. We report a case of a 4 years old male with chyloperitoneum after an open surgical repair of an abdominal aortic aneurysm. He received early enteral nutrition intervention with a low fat, MCT diet. When his nutritional status was improved, he underwent successful surgical lymphatic ligation. In this case, enteral nutrition with a low fat, MCT diet has failed to resolve the chyle leak. However, it is crucial to provide patients nutrients and electrolytes while still reducing pressure on the lymphatic system.