The management of chylothorax in neonates involves several approaches:
Conservative Management: This includes dietary modifications such as a fat-free diet or the use of medium-chain triglycerides (MCT) that are directly absorbed into the bloodstream, bypassing the lymphatic system. Medical Therapy: Medications such as octreotide may be used to reduce chyle production. Drainage: In cases where fluid accumulation is significant, a chest tube may be inserted to drain the pleural fluid and relieve respiratory distress. Surgical Intervention: In refractory cases, surgical options such as thoracic duct ligation or pleurodesis may be considered.
