Postoperative chylous ascites after radical gastrectomy. A case report

Details

Serval ID
serval:BIB_5C4B8F6ECD2F
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Postoperative chylous ascites after radical gastrectomy. A case report
Journal
Minerva Chir
Author(s)
Halkic  N., Abdelmoumene  A., Suardet  L., Mosimann  F.
ISSN
0026-4733 (Print)
Publication state
Published
Issued date
2003
Volume
58
Number
3
Pages
389-391
Notes
DA - 20030904
LA - eng
PT - Case Reports
PT - Journal Article
PT - Review
SB - IM
Abstract
Postoperative chylous ascites is a classical but uncommon complication following extensive retroperitoneal or near the root of the mesentery dissection with an incidence ranging from 1.2 to 3%. Only 6 cases of chylous ascites have been described after ulcer surgery with troncal vagotomy associated with pyloroplasty and only 1 after gastrectomy. We report the second case of chylous ascites after a D2 distal gastrectomy. A 56-year-old female underwent a D2 distal gastrectomy and gastro-duodenostomy with omentectomy for a prepyloric T1N0M0 moderately differentiated adenocarcinoma. The patient was treated conservatively by both of parenteral nutrition and a fat free diet. By the end of 2(nd) postoperative week, the effusion became serous again and the output gradually ceased. The drain could be removed on the 20(th) postoperative day. Normal enteral nutrition was resumed, no recurrence of chylous ascites occurred. This conservative treatment proved to be effective as it as already be reported with resolution in almost 60% of the patients and remains the first choice option
Keywords
Chylous Ascites/etiology/Female/Gastrectomy/adverse effects/methods/Humans/Middle Aged
Pubmed
Create date
18/02/2008 14:30
Last modification date
20/08/2019 15:14
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