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Skimmed milk preparation in management of congenital chylothorax
V Gupta1, N V Mahendri, P Tete
1Department of Neonatology and *Dietetics, Christian Medical College, Vellore, Tamil Nadu, India. Correspondence to: Dr. Sridhar Santhanam, Professor, Department of Neonatology, Christian Medical College, Vellore, Tamil Nadu, India. santhanamsridhar@gmail.com.
Background:
Treatment for congenital chylothorax is based on adequate drainage of the pleural fluid and total parenteral nutrition followed by re-establishment of feeds using medium-chain-triglycerides based milk formulas which are expensive and not easily available.
Case Characteristics:
Two newborns (one term and one preterm) with congenital chylothorax.
Intervention:
Skimmed milk preparation for enteral nutrition to provide high protein and low fat diet.
Outcome:
Successful resolution of chylothorax.
Message:
Skimmed milk preparation may be used for enteral nutrition of babies with congenital chylothorax where other feeding alternatives or commercial formulas are either not successful or are not available.
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