Enteral diet supply in medium chain triglycerid as a therape | 76271


Enteral diet supply in medium chain triglycerid as a therapeutic coadjuvant in a case of bilateral quilotrax secondary to follicular lymphoma

Author(s): Cirilo, Marry Aneyts de Santana1; Xavier do Nascimento, Claudete2; Soares de Sousa, Bruno2

Introduction:Chylothorax is a pathological condition, where in many cases it compromises the nutritional status due to the continuous loss of the kilo with consequent immunological damage. The objective of this study was to describe the clinical and nutritional results observed after early nutritional intervention through enteral therapy with a homemade formula based on casein, maltodextrin, medium chain triglyceride (MCT) and trace elements.

Method: This is a descriptive observational case report of a patient diagnosed with chylothorax secondary to follicular non-Hodgkin lymphoma.

Results: The institution of early nutritional therapy concomitant with conservative treatment seemed to infer a slight decrease in chylousdebit, however, there was only a significant improvement of the clinical condition, after the diagnosis of lymphoma and the beginning of treatment of the base disease, in this case, chemotherapy. Regarding the nutritional aspect, there was a discreet nutritional loss from admission to discharge, so early therapy, although not effective in reversing nutritional status, preserved it and maintained its functional capacity

Discussion: Etiologic diagnosis and early treatment are essential in the favorable clinical outcome. There are two nutritional therapeutic options, although there is no consensus among which is more effective in reversing the pathological condition, although it is already well established that the supply of medium chain triglyceride (MCT) via enteral or parenteral together with gastrointestinal rest are effective adjuvants in decreased chylous flow rate.

Conclusion: The early enteral support with nasoenteral TCM supply behaved as a coadjuvant in the treatment of chylothorax, although not restoring nutritional status is able to maintain it. Conservative therapy only showed significant results from the beginning of treatment of the underlying disease, in this case cancer, reinforcing the importance of a rapid clinical diagnosis

Web of Science


2022 CiteScore

14th percentile
SCImago Journal & Country Rank
Awards Nomination
Google Scholar citation report
Citations : 2439

Clinical Nutrition and Hospital Dietetics received 2439 citations as per google scholar report

Indexed In
  • Google Scholar
  • Open J Gate
  • Genamics JournalSeek
  • Academic Keys
  • JournalTOCs
  • ResearchBible
  • Ulrich's Periodicals Directory
  • Access to Global Online Research in Agriculture (AGORA)
  • Electronic Journals Library
  • RefSeek
  • Hamdard University
  • OCLC- WorldCat
  • SWB online catalog
  • Virtual Library of Biology (vifabio)
  • Publons
  • MIAR
  • Geneva Foundation for Medical Education and Research
  • Euro Pub
  • Web of Science

Manuscript Submission

Submit your manuscript at

Journal Highlights
  • Blood Glucose
  • Dietary Supplements
  • Cholesterol, Dehydration
  • Digestion
  • Electrolytes
  • Clinical Nutrition Studies
  • energy balance
  • Diet quality
  • Clinical Nutrition and Hospital Dietetics