Yes, that is correct, some cases of Chylothorax can be breastfed without leakage of the thoracic duct. While this case was taking place at Yale, and shortly after, 2 other babies were NPO for several days, portagen for a day or two, and then tolerated breastmilk with no problem. In this particular case, however, there was severe lymphatic drainage, up to a liter a day from an 8 lb. baby, multiple bouts of fungal and bacterial sepsis, and the drainage continued despite being NPO for several weeks. Portagen increased the drainage. After 6 weeks on the skim milk in the hospital, the baby recieved whole breastmilk once, and chylus drainage started within hours. This baby was on the skim milk for a total of aprox 2.5 months. So an alternative form of nutrition was imperative in this case. Trish Whitehouse, RN *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html