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- Title
Postoperative chylous ascites: An institutional experience over two years.
- Authors
Yeo, Matthew S. W.; Tan, Lincoln G. L.; Chang, Stephen K. Y.
- Abstract
Chylous ascites is defined as the abnormal accumulation of chylous fluid in the abdominal cavity. This is an uncommon occurrence and is usually a result of disruption of the normal lymphatic channels during surgery at the base of mesentery, retroperitoneum or around the cisterna chyli. Chylous ascites is associated with significant morbidity such as malnutrition and ascitic distension, and may delay the commencement of chemotherapy in some patients. The authors performed a retrospective review of an institutional experience over 2 years (2005–2006), involving three cases of postoperative chylous ascites. Treatment modality and outcomes, as well as volume of chylous drainage were followed clinically. All three patients were treated successfully with non-surgical means. All three had cessation of oral feeding, while the use of intravenous somatostatin led to early cessation of ascites in one case. The patients have been followed up and have not had recurrence or long-term sequelae of chylous ascites. Chylous ascites is an uncommon condition for which early recognition and commencement of treatment is essential in preventing morbidity. In our experience, non-surgical treatment of chylous ascites leads to favourable clinical outcomes.
- Subjects
ASCITES; SURGICAL complications; MESENTERY; RETROPERITONEUM; DRUG therapy; THERAPEUTICS
- Publication
Surgical Practice, 2008, Vol 12, Issue 4, p133
- ISSN
1744-1625
- Publication type
Article
- DOI
10.1111/j.1744-1633.2008.00415.x