POSTOPERATIVE CHYLOUS FISTULA PREVENTION AND MANAGEMENT

Minimally invasive management of chylous fistula after esophagectomy.

Chyle leak is an unwelcome complication of esophagectomy that is associated with a high mortality. The diagnosis of this condition may be difficult or delayed and requires a high index of suspicion. Management varies from conservative treatment with drainage, intravenous nutrition, treatment and prevention of septic complications, to re-operation, either by thoracotomy or laparotomy to control ...

Prevention and management of postoperative air leaks.

Chylous Ascites: Evaluation and Management

Chylous ascites refers to the accumulation of lipid-rich lymph in the peritoneal cavity due to disruption of the lymphatic system secondary to traumatic injury or obstruction. Worldwide, abdominal malignancy, cirrhosis, and tuberculosis are the commonest causes of CA in adults, the latter being most prevalent in developing countries, whereas congenital abnormalities of the lymphatic system and ...

Combined chylous neck fistula, chylothorax and chyloperitoneum after transhiatal esophagectomy.

A 65-year-old man sequentially developed a chylous neck fistula, left-sided chylothorax, and chylous ascites after a transhiatal total esophagectomy for adenocarcinoma of the distal esophagus. The pathophysiology of this unusual accumulation of chyle in three separate anatomic compartments is examined.

The Role of Somatostatin Treatment in the Management of Chylous Fistula after Neck Dissection

Chylous fistula is a serious complication of neck dissection. The use of somatostatin after neck surgery, has been described in literature. Because of the absence of definitive guidelines, reporting of our experience in three cases may guide the surgeons to overcome this life threatening complication. We descibe three cases who underwent neck dissection. While two of them had high output (>1000...