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- Title
Tratamiento dietético de la ascitis quilosa postquirúrgica: caso clínico y revisión de la literatura.
- Authors
Roldán, J. Olivar; Martínez, A. Fernández; Sancho, E. Martínez; Gómez, J. Díaz; Borge, V. Martín; Candela, C. Gómez
- Abstract
Chylous ascites derives from chyle leakage into the peritoneal cavity, either due to rupture or obstruction of abdominal lymphatic vessels. The main clinical sign is abdominal distention, while diagnosis requires the presence of triglycerides in ascitic fluid. Neoplasms are the most common cause of chylous ascites, although less common causes, such as abdominal surgery, should also be considered. The mainstay of therapy is hyperproteic diet with fat restriction and middle-chain triglycerides. Parenteral nutrition is reserved for cases in which dietary treatment fails to restore an optimal nutritional status or is contraindicated, whereas surgery is considered for patients that are deemed refractory to conservative therapy. We present a case of chylous ascites secondary to retroperitoneal lymphadenectomy.
- Subjects
TRIGLYCERIDES; HIGH-protein diet; ASCITES; ENTERAL feeding; ABDOMINAL surgery; TUMOR treatment; THERAPEUTICS
- Publication
Nutrición Hospitalaria, 2009, Vol 24, Issue 6, p748
- ISSN
0212-1611
- Publication type
Article