Manejo de la ascitis quilosa y revisión de la literatura

  1. Paula Sánchez Sobrino 1
  2. Blanca Leticia Rodríguez Cañete 1
  3. Olaia Díaz Trastoy 1
  4. Nuria Vázquez-Temprano 2
  5. Carla Murcia Murcia 3
  6. Santiago Enrique Rodeiro Marta 1
  1. 1 Servicio de Endocrinología y Nutrición. Complejo Hospitalario Universitario de Pontevedra. Pontevedra. España
  2. 2 Servicio de Medicina Interna. Complejo Hospitalario Universitario de Pontevedra. Pontevedra. España
  3. 3 Enfermera. Hospital Vega Baja de Orihuela. Alicante. España
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Journal:
Nutrición clínica y dietética hospitalaria

ISSN: 0211-6057

Year of publication: 2022

Volume: 42

Issue: 1

Pages: 126-133

Type: Article

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More publications in: Nutrición clínica y dietética hospitalaria

Abstract

Introduction: Chylous ascites is the accumulation oflymphatic fluid in the peritoneal cavity. It is a rare pathologyand it can be traumatic or no traumatic. The most commoncause of chylous ascites in adults is obstruction by abdominalneoplasms. There is insufficient evidence about an effectivetreatment. Objectives: The main objective of this review is to dee-pen, integrate, summarize and update the information published about this topic. Also, we want to provide to other healthprofessionals, a useful and verified information to applicate inclinical practice. Material and Methods: A literature review was made:PubMed, Medline and Science direct search using as descrip-tors “chylous ascites” AND “diet”. The following filters areused: human, last 5 years and Spanish/English languages.Articles were reviewed and 12 papers were selected. Results: We describe the dietary alternatives and the in-terventional treatment. Discussion: Chylous ascites is an important medical pro-blem, because of the deterioration of immune system and nu-tritional parameters. Literature review was made and there isno scientific evidence about the treatment of choice in pa-tients with chylous ascites. Diet is the simplest treatment andthe first to be implemented. A multidisciplinary team is im-portant in the treatment of these patients. To choose the besttherapeutic attitude, we must know the cause, the clinical si-tuation and the experience of health care workers. Conclusions: A low-fat diet supplemented with mediumchain triglycerides is the most efficacy treatment for chylousascites. There is no evidence about an effective treatment forthis pathology and most publications are clinical cases.Prospective, randomized studies are needed to get more evi-dence on the management of chylous ascites

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