Nutritional management of chylous leakage following surgery for
high-risk neuroblastoma in a toddler
- Amanda Casirati,
- Giulia Mulazzani,
- Roberto Luksch,
- Carlo Morosi,
- Davide Biasoni,
- Serena Della Valle
Giulia Mulazzani
Fondazione IRCCS Istituto Nazionale dei Tumori
Author ProfileRoberto Luksch
Fondazione IRCCS Istituto Nazionale dei Tumori
Author ProfileCarlo Morosi
Fondazione IRCCS Istituto Nazionale dei Tumori
Author ProfileDavide Biasoni
Fondazione IRCCS Istituto Nazionale dei Tumori
Author ProfileSerena Della Valle
Fondazione IRCCS Istituto Nazionale dei Tumori
Author ProfileAbstract
Neuroblastoma is the most common extracranial solid tumour in
preschool-aged children, with a median age of onset of 2 years. The most
frequent site of occurrence is retroperitoneum. An extensive surgical
resection is often needed and is an important tool in the management of
this disease even in metastatic patients. We describe the nutritional
management of a chylous leakage occurred in a toddler with metastatic
neuroblastoma after its surgical resection. A multimodal approach
including a-lipidic diet and parenteral nutrition allowed both chylous
fistula closure and specific nutritional requirements coverage without
impairment of neither oncological treatment following surgery nor
child's growth.