Subscribe

Latest Posts

Chyle leaks and Xtra Cal

Chyle leak, although uncommon can often be extremely difficult to manage. Chyle leak is a result of the lymphatic fluid excreting from a lymphatic vessel. These leaks happen for a variety of reasons, but most often are related to trauma or lymphoma. The leakage can manifest in a variety of ways, often appearing as an odorless, alkaline fluid with production around 2-4 liters each day. Because Chyle can contain 5-30 grams of fat per liter and 20-30 grams of protein, the nutritional impact on the patient is significant.
Intervention and management usually begin with implementation of a low fat diet to aid in reducing the production of the chyle to aid in healing. Because low fat diets are often lower in calories, energy intake can be a struggle. One way to help meet nutritional needs without exacerbating the issue is to supplement with XtraCal Plus.
XtraCal Plus is a uniquely formulated with medium-chain triglycerides as well as hydrolyzed collagen and whey protein. This unique combination makes it ideally suited for the Chyle leak patient. Because the lipid source is MCT oil, it does not affect the production of the chyle aiding in the healing and recovery of the leak. XtraCal Plus is also a great source of protein providing 14 grams per 1.5 oz. XtraCal Plus is an ideal supplement to support the patient and prevent further nutrition complications.

  • Adams S. Chylothorax. Version current December 14 2014. Internet: http://emedicine.medscape.com/article/172527-overview (accessed May 1 2015).
  • Bibby AC, Maskell NA. Nutritional management in chyle leaks and chylous effusions. Br J Community Nurs 2014;19 Suppl 10:S6-8.
  • Desai AP, Guvenc BH, Carachi R. Evidence for medium chain triglycerides in the treatment of primary intestinal lymphangiectasia. Eur J Pediatr Surg 2009;19:241-5.
  • McCray S, Parrish CR. Nutritional Management of Chyle Leaks: An Update. Pract Gastroenterol 2011;35:12.
  • Nazer H. Intestinal Lymphangiectasia. Version current December 19 2014. Internet: http://emedicine.medscape.com/article/179571-overview (accessed May 1 2015).
  • Smoke A, Delegge MH. Chyle leaks: consensus on management? Nutr Clin Pract 2008;23:529-32.

Posted by Karen Sudders, MS, LDN, RD,
 

Subscribe to Blog via Email

If you found this post useful why not subscribe to our blog and be the first to know about product launches and important information that can help you in your facility.