Treatment options for chylous ascites after major abdominal surgery: a systematic review

被引：121
|
作者：
Weniger, Maximilian [1 ]
D'Haese, Jan G. [1 ]
Angele, Martin K. [1 ]
Kleespies, Axel [1 ]
Werner, Jens [1 ]
Hartwig, Werner [1 ]
机构：
[1] Univ Munich, Dept Gen Visceral Transplantat Vasc & Thorac Surg, D-81377 Munich, Germany
来源：
AMERICAN JOURNAL OF SURGERY | 2016年 / 211卷 / 01期
关键词：
Lymph fistula; Pancreatic surgery; Total parenteral nutrition; Medium chain triglyceride diet; Octreotide; LYMPH-NODE DISSECTION; MANAGEMENT; DIAGNOSIS; LYMPHANGIOGRAPHY; LEAKAGE; RISK; PANCREATICODUODENECTOMY; COMPLICATIONS; GASTRECTOMY; NUTRITION;
D O I：
10.1016/j.amjsurg.2015.04.012
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BACKGROUND: Chylous leakage is a relevant clinical problem after major abdominal surgery leading to an increased length of stay. DATA SOURCES: A systematic search of MEDLINE/PubMed and the Cochrane Library was performed according to the PRISMA statement. The search for the MeSH terms "chylous ascites'' and/or "lymphatic fistula'' retrieved a total of 2,348 articles, of which 36 full-text articles were reviewed by 2 independent investigators. RESULTS: Chylous ascites is described with an incidence of up to 11%, especially after pancreatic surgery. The incidence is increasing with the number of lymph nodes harvested. In patients treated with total parenteral nutrition, conservative treatment is demonstrated to be effective in up to 100% of cases. CONCLUSIONS: The extent of abdominal surgery mainly predicts the risk of chylous ascites. Conservative treatment has been shown to be effective in almost all cases and is the treatment of choice. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码：206 / 213
页数：8
相关论文
共 50 条
  • [41] SURGICAL TREATMENT FOR CHYLOUS ASCITES AFTER LAPAROSCOPIC DONOR NEPHRECTOMY
    Altinel, Mert
    Akinci, Serkan
    Karatas, Cihan
    Arpali, Emre
    Akyollu, Basak
    Kocak, Burak
    TRANSPLANT INTERNATIONAL, 2015, 28 : 847 - 847
  • [42] CHYLOUS ASCITES FOLLOWING RESECTION OF A RUPTURED ABDOMINAL ANEURYSM - TREATMENT WITH A PERITONEOVENOUS SHUNT
    SARAZIN, WG
    SAUTER, KE
    ARCHIVES OF SURGERY, 1986, 121 (02) : 246 - 247
  • [43] Incidence and risk factors of chylous ascites after colorectal cancer surgery
    Baek, Se-Jin
    Kim, Seon-Hahn
    Kwak, Jung-Myun
    Kim, Jin
    AMERICAN JOURNAL OF SURGERY, 2013, 206 (04): : 555 - 559
  • [44] Chylous ascites after lymphadenectomy for gynecologic malignancies: the conservative treatment
    Kwon, Yong-Soon
    Kwack, Jae Young
    Im, Kyong Shil
    Park, Eunhye
    EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, 2018, 39 (02) : 253 - 256
  • [45] Contemporary Management of Chylous Ascites after Retroperitoneal Surgery: Development of an Evidence-Based Treatment Algorithm
    Rose, Kyle M.
    Huelster, Heather L.
    Roberts, Erica C.
    Manley, Brandon J.
    Gilbert, Scott M.
    Sexton, Wade J.
    JOURNAL OF UROLOGY, 2022, 208 (01): : 53 - 61
  • [46] Preoperative exercise therapy for elective major abdominal surgery: A systematic review
    Pouwels, Sjaak
    Stokmans, Rutger A.
    Willigendael, Edith M.
    Nienhuijs, Simon W.
    Rosman, Camiel
    van Ramshorst, Bert
    Teijink, Joep A. W.
    INTERNATIONAL JOURNAL OF SURGERY, 2014, 12 (02) : 134 - 140
  • [47] Endovascular Treatment of Major Abdominal Arteriovenous Fistulas: A Systematic Review
    Nakad, Ghassan
    AbiChedid, Ghassan
    Osman, Raed
    VASCULAR AND ENDOVASCULAR SURGERY, 2014, 48 (5-6) : 388 - 395
  • [48] Systematic review and meta-analysis of frailty as a predictor of morbidity and mortality after major abdominal surgery
    Sandini, M.
    Pinotti, E.
    Persico, I.
    Picone, D.
    Bellelli, G.
    Gianotti, L.
    BJS OPEN, 2017, 1 (05): : 128 - +
  • [49] Successful treatment of large abdominal lymphatic malformations and chylous ascites with intra-abdominal lymphovenous anastomosis
    Ishiura, Ryohei
    Mitsui, Kohei
    Danno, Kanako
    Banda, Chihena Hansini
    Inoue, Mikihiro
    Narushima, Mitsunaga
    JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, 2021, 9 (02) : 499 - 503
  • [50] Review of incidence and management of chylous ascites after small bowel transplantation
    Weseman, Rebecca A.
    NUTRITION IN CLINICAL PRACTICE, 2007, 22 (05) : 482 - 484
12345