Journal List > Perinatology > v.30(4) > 1144136

Perinatology. 2019 Dec;30(4):249-253. Korean.
Published online Dec 31, 2019.  https://doi.org/10.14734/PN.2019.30.4.249
Copyright © 2019 The Korean Society of Perinatology
Serious Necrotizing Enterocolitis in a Neonate Treated with Octreotide for Congenital Chylothorax
Min Jeong Jo, MD, Do-Hyun Kim, MD, PhD, and Hee Sup Kim, MD, PhD
Department of Pediatrics, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.

Correspondence to Do-Hyun Kim, MD, PhD. Department of Pediatrics, Dongguk University Ilsan Hospital, 27 Dongguk-ro, Ilsandong-gu, Goyang 10326, Korea. Tel: +82-31-961-7184, Fax: +82-31-961-7182, Email: dayeong1@hanmail.net
Received Sep 20, 2019; Revised Oct 21, 2019; Accepted Oct 26, 2019.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

The somatostatin analog octreotide has recently been introduced in the treatment of infants with chylothorax. The safety profile of octreotide has not been fully evaluated. Octreotide reduces the splanchnic blood flow in a dose-dependent manner, affecting the entire gastrointestinal tract. Some concern has been recently raised regarding the potential implications of this effect in the development of necrotizing enterocolitis in neonates receiving octreotide for congenital hyperinsulinism or chylothorax. To our knowledge, there is no case report linking the use of octreotide with necrotizing enterocolitis in Korea. We report a case of serious necrotizing enterocolitis in a neonate treated with octreotide for congenital idiopathic chylothorax.

Keywords: Octreotide; Enterocolitis, necrotizing; Chylothorax; Newborn

Figures


Fig. 1
The initial infantogram showed massive right pleural effusion.
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Fig. 2
Infantogram (A) and abdominal ultrasonography (B) showed the findings consistent with necrotizing enterocolitis. Notable features include generalized bowel loop distension, pneumatosis coli (A, arrow), and portal venous air (B, arrows).
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Fig. 3
Intraoperative findings were consistent with necrotizing enterocolitis involving extensive areas of jejunum, ileum, and colon.
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Tables


Table 2
Summary of Cases of Octreotide Associated Necrotizing Enterocolitis
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