Postoperative chylous ascites after radical gastrectomy. A case report
Détails
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Etat: Public
Version: Final published version
Licence: Non spécifiée
Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_5C4B8F6ECD2F
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Postoperative chylous ascites after radical gastrectomy. A case report
Périodique
Minerva Chir
ISSN
0026-4733 (Print)
Statut éditorial
Publié
Date de publication
2003
Peer-reviewed
Oui
Volume
58
Numéro
3
Pages
389-391
Langue
anglais
Notes
DA - 20030904
LA - eng
PT - Case Reports
PT - Journal Article
PT - Review
SB - IM
LA - eng
PT - Case Reports
PT - Journal Article
PT - Review
SB - IM
Résumé
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
Mots-clé
Chylous Ascites/etiology/Female/Gastrectomy/adverse effects/methods/Humans/Middle Aged
Pubmed
Open Access
Oui
Création de la notice
18/02/2008 13:30
Dernière modification de la notice
31/03/2023 6:11