Protein Losing Enteropathy After Fontan Operation: Glimpses of Clarity Through the Lifting Fog

被引:25
作者
Rychik, Jack [1 ]
Dodds, Kathryn M. [1 ]
Goldberg, David [1 ]
Glatz, Andrew C. [1 ]
Fogel, Mark [1 ]
Rossano, Joseph [1 ]
Chen, Jonathan [1 ]
Pinto, Erin [1 ]
Ravishankar, Chitra [1 ]
Rand, Elizabeth [1 ]
Rome, Jonathan J. [1 ]
Dori, Yoav [1 ]
机构
[1] Childrens Hosp Philadelphia, Cardiac Ctr, 3401 Civ Ctr Blvd, Philadelphia, PA 19104 USA
关键词
Fontan; lymphatics; protein losing enteropathy; single ventricle; THORACIC-DUCT;
D O I
10.1177/2150135119890555
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fontan-associated protein losing enteropathy is a challenge to treat and is a major contributor to morbidity and mortality in patients with palliated single ventricle. Numerous strategies for management have been proposed, with confusion as to how best to stratify and implement care among the many treatments available. Medical management can be helpful in some, while novel lymphatic interventions hold potential for remission with good results. We review our institutional approach to protein losing enteropathy after Fontan operation and provide a suggested algorithm and pathway for effective care.
引用
收藏
页码:92 / 96
页数:5
相关论文
共 19 条
[1]   MRI Evaluation of Lymphatic Abnormalities in the Neck and Thorax after Fontan Surgery: Relationship with Outcome [J].
Biko, David M. ;
DeWitt, Aaron G. ;
Pinto, Erin M. ;
Morrison, Rodney E. ;
Johnstone, Jordan A. ;
Griffis, Heather ;
O'Byrne, Michael L. ;
Fogel, Mark A. ;
Harris, Matthew A. ;
Partington, Sara L. ;
Whitehead, Kevin K. ;
Saul, David ;
Goldberg, David J. ;
Rychik, Jack ;
Glatz, Andrew C. ;
Gillespie, Matthew J. ;
Rome, Jonathan J. ;
Dori, Yoav .
RADIOLOGY, 2019, 291 (03) :774-780
[2]   Intrahepatic dynamic contrast MR lymphangiography: initial experience with a new technique for the assessment of liver lymphatics [J].
Biko, David M. ;
Smith, Christopher L. ;
Otero, Hansel J. ;
Saul, David ;
White, Ammie M. ;
DeWitt, Aaron ;
Glatz, Andrew C. ;
Piccoli, David A. ;
Mamula, Petar ;
Rome, Jonathan J. ;
Dori, Yoav .
EUROPEAN RADIOLOGY, 2019, 29 (10) :5190-5196
[3]   Successful Treatment of Plastic Bronchitis by Selective Lymphatic Embolization in a Fontan Patient [J].
Dori, Yoav ;
Keller, Marc S. ;
Rychik, Jack ;
Itkin, Maxim .
PEDIATRICS, 2014, 134 (02) :E590-E595
[4]   MRI of Lymphatic Abnormalities After Functional Single-Ventricle Palliation Surgery [J].
Dori, Yoav ;
Keller, Marc S. ;
Fogel, Mark A. ;
Rome, Jonathan J. ;
Whitehead, Kevin K. ;
Harris, Matthew A. ;
Itkin, Maxim .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2014, 203 (02) :426-431
[5]   Hepatic Fibrosis Is Universal Following Fontan Operation, and Severity is Associated With Time From Surgery: A Liver Biopsy and Hemodynamic Study [J].
Goldberg, David J. ;
Surrey, Lea F. ;
Glatz, Andrew C. ;
Dodds, Kathryn ;
O'Byrne, Michael L. ;
Lin, Henry C. ;
Fogel, Mark ;
Rome, Jonathan J. ;
Rand, Elizabeth B. ;
Russo, Pierre ;
Rychik, Jack .
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2017, 6 (05)
[6]   Decompression of Thoracic Duct: New Approach for the Treatment of Failing Fontan [J].
Hraska, Viktor .
ANNALS OF THORACIC SURGERY, 2013, 96 (02) :709-711
[7]   Protein-Losing Enteropathy in Patients With Congenital Heart Disease [J].
Itkin, Maxim ;
Piccoli, David A. ;
Nadolski, Gregory ;
Rychik, Jack ;
DeWitt, Aaron ;
Pinto, Erin ;
Rome, Jonathan ;
Dori, Yoav .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 69 (24) :2929-2937
[8]   Clinical Outcomes and Improved Survival in Patients With Protein-Losing Enteropathy After the Fontan Operation [J].
John, Anitha S. ;
Johnson, Jennifer A. ;
Khan, Munziba ;
Driscoll, David J. ;
Warnes, Carole A. ;
Cetta, Frank .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 64 (01) :54-62
[9]   Budesonide for Protein Losing Enteropathy in Patients with Fontan Circulation: A Systematic Review and Meta-Analysis [J].
Kewcharoen, Jakrin ;
Mekraksakit, Poemlarp ;
Limpruttidham, Nath ;
Kanitsoraphan, Chanavuth ;
Charoenpoonsiri, Nattawat ;
Poonsombudlert, Kittika ;
Pattison, Robert J. ;
Rattanawong, Pattara .
WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY, 2020, 11 (01) :85-91
[10]  
Maleux G, 2019, CATHETER CARDIOVASC