Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic Review

Background. Primary intestinal lymphangiectasia (PIL) is severe and rare disease with poor prognosis. Its management is complex due to the lack of clinical guidelines (both Russian and international). Therefore, consideration of modern principles of this pathology treatment is still crucial, it also...

Full description

Saved in:
Bibliographic Details
Main Authors: Regina A. Shukenbaeva, Tatiana V. Turti
Format: Article
Language:Russian
Published: Union of pediatricians of Russia 2022-03-01
Series:Педиатрическая фармакология
Subjects:
Online Access:https://www.pedpharma.ru/jour/article/view/2132
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1839587000131256320
author Regina A. Shukenbaeva
Tatiana V. Turti
author_facet Regina A. Shukenbaeva
Tatiana V. Turti
author_sort Regina A. Shukenbaeva
collection DOAJ
description Background. Primary intestinal lymphangiectasia (PIL) is severe and rare disease with poor prognosis. Its management is complex due to the lack of clinical guidelines (both Russian and international). Therefore, consideration of modern principles of this pathology treatment is still crucial, it also can improve the quality and life expectancy in these patients.Objective. The aim of the study is to schematize and unify all relevant data on PIL cases over the past 10 years, to identify modern treatment principles for provision of timely medical car. Methods. Systematic review of publications from 2011 to 2021 in PubMed database was performed. Clinical cases, observational studies, and literature reviews were included.Results. Nutrition therapy in the treatment of PIL has many advantages and it is the firstline therapy. However, modern medicine allows to help children with this pathology via somatostatin group drugs, immunosuppressants, and surgery in case of insufficient nutrition correction.Conclusion. Primary intestinal lymphangiectasia has certain scientific interest in pediatricians and gastroenterologists’ practice. Understanding of the disease, its early diagnosis and pathological process localization allow us to choose the correct diet, to determine the need for surgical intervention, and to prescribe targeted drug therapy.
format Article
id doaj-art-bf2dc04b1b3942f5958a191818e98fc9
institution Matheson Library
issn 1727-5776
2500-3089
language Russian
publishDate 2022-03-01
publisher Union of pediatricians of Russia
record_format Article
series Педиатрическая фармакология
spelling doaj-art-bf2dc04b1b3942f5958a191818e98fc92025-08-03T19:21:29ZrusUnion of pediatricians of RussiaПедиатрическая фармакология1727-57762500-30892022-03-01191727710.15690/pf.v19i1.23771878Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic ReviewRegina A. Shukenbaeva0Tatiana V. Turti1Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical University; Research Institute of Pediatrics and Children’s Health in Central Clinical Hospital, Russian Academy of SciencesBackground. Primary intestinal lymphangiectasia (PIL) is severe and rare disease with poor prognosis. Its management is complex due to the lack of clinical guidelines (both Russian and international). Therefore, consideration of modern principles of this pathology treatment is still crucial, it also can improve the quality and life expectancy in these patients.Objective. The aim of the study is to schematize and unify all relevant data on PIL cases over the past 10 years, to identify modern treatment principles for provision of timely medical car. Methods. Systematic review of publications from 2011 to 2021 in PubMed database was performed. Clinical cases, observational studies, and literature reviews were included.Results. Nutrition therapy in the treatment of PIL has many advantages and it is the firstline therapy. However, modern medicine allows to help children with this pathology via somatostatin group drugs, immunosuppressants, and surgery in case of insufficient nutrition correction.Conclusion. Primary intestinal lymphangiectasia has certain scientific interest in pediatricians and gastroenterologists’ practice. Understanding of the disease, its early diagnosis and pathological process localization allow us to choose the correct diet, to determine the need for surgical intervention, and to prescribe targeted drug therapy.https://www.pedpharma.ru/jour/article/view/2132primary intestinal lymphangiectasiawaldmann diseasediet with medium-chain triglyceridesoctreotidesirolimuseverolimus
spellingShingle Regina A. Shukenbaeva
Tatiana V. Turti
Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic Review
Педиатрическая фармакология
primary intestinal lymphangiectasia
waldmann disease
diet with medium-chain triglycerides
octreotide
sirolimus
everolimus
title Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic Review
title_full Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic Review
title_fullStr Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic Review
title_full_unstemmed Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic Review
title_short Modern Treatment Principles for Children with Primary Intestinal Lymphangiectasia: Observational Studies Systematic Review
title_sort modern treatment principles for children with primary intestinal lymphangiectasia observational studies systematic review
topic primary intestinal lymphangiectasia
waldmann disease
diet with medium-chain triglycerides
octreotide
sirolimus
everolimus
url https://www.pedpharma.ru/jour/article/view/2132
work_keys_str_mv AT reginaashukenbaeva moderntreatmentprinciplesforchildrenwithprimaryintestinallymphangiectasiaobservationalstudiessystematicreview
AT tatianavturti moderntreatmentprinciplesforchildrenwithprimaryintestinallymphangiectasiaobservationalstudiessystematicreview