Managing Secondary Chylothorax: The Implications for Medical Nutrition Therapy

Chyle is a noninflammatory lymphatic fluid of intestinal origin. It is largely composed of triglycerides in the form of chylomicrons, and it is transported from the lymphatic system to the blood stream by the thoracic duct (1,2). The majority of dietary fat is in the form of long-chain triglycerides...

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Bibliographic Details
Published in:Journal of the American Dietetic Association 2011-04, Vol.111 (4), p.600-604
Main Authors: Karagianis, Jenna, Sheean, Patricia M., PhD, RD
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Chylothorax - etiology
Chylothorax - therapy
Dietetics
Disease management
Diseases of the digestive system
Esophageal Neoplasms - complications
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - surgery
Esophagectomy - adverse effects
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
Humans
Internal Medicine
Lymphatic system
Medical sciences
Nutrition
Nutrition Therapy
Pneumology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Respiratory system : syndromes and miscellaneous diseases
Treatment Outcome
Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:Chyle is a noninflammatory lymphatic fluid of intestinal origin. It is largely composed of triglycerides in the form of chylomicrons, and it is transported from the lymphatic system to the blood stream by the thoracic duct (1,2). The majority of dietary fat is in the form of long-chain triglycerides (LCT); generally classified as having a hydrocarbon chain of 14 to 18 carbon atoms in length. When LCTs enter the proximal small bowel, they are hydrolyzed by pancreatic enzymes and emulsified by bile salts. They are then absorbed and reformed into chylomicrons. Chylomicrons enter the lymphatic system. Here, Karagianis and Sheean talk about ways on managing secondary chylothorax and elaborate their implications for medical nutrition therapy.
ISSN:0002-8223
2212-2672
1878-3570
2212-2680
DOI:10.1016/j.jada.2011.01.014