What is Monogen formula used for?
What is Monogen formula used for?
Monogen is a Food for Special Medical Purposes for the dietary management of disorders requiring a low long chain triglyceride (LCT), high medium chain triglyceride intake such as: long chain fatty acid oxidation defects (long chain 3-dydroxyacyl-CoA dehydrogenase deficiency (LCHAD), chylothorax, and lymphangiectasia.
How is chylothorax treated?
Treatment for chylothorax
- Thoracic duct embolization, during which the entire thoracic duct is embolized, or sealed shut.
- Selective lymphatic duct embolization, a more targeted procedure in which only certain ducts are embolized, sparing the thoracic duct.
How do you heal Chyle leak?
Octreotide therapy has been shown to be successful in high-volume leaks, with reported success in a 2300-mL chyle leak that persisted after 8 days of MCT diet then resolved 6 days after initiation of octreotide therapy with no adverse events.
How can chylothorax be prevented?
Decompress the pleural space with tube thoracostomy or repeated thoracentesis to keep the lung expanded against the chest wall and mediastinum. Reduce chyle production by instituting total parenteral nutrition or a fat-restricted oral diet supplemented with medium-chain triglycerides.
When did they start using monogen for chylothorax?
No randomized trials have been conducted to compare the efficacy of these different forms of treatment. From May 1999 we began using Monogen (Scientific Hospital Supplies, Liverpool, England) instead of Portagen powder as enteral nutrition support for chylothorax.
Is there a cure for chylothorax in children?
Chylothorax was diagnosed in 25 patients after a total of 535 cardiac operations in children younger than 10 years, for an incidence of 4.7%. Eighteen patients had been given Monogen, an enteral low long-chain triglyceride formula, as initial treatment.
How long does chylothorax stay in the body?
Overall duration of the chylothorax from day of diagnosis for the Monogen group varied from 2 to 36 days, with a median of 4.5 days of drainage. The length of stay from surgery to discharge ranged from 8 to 74 days.
