Clinical study on chylous acites following hepato-pancreatic surgery

Kuroda Shinji, Aoki Hideki, Shiozaki Shigehiro, Harano Masao, Sasaki Hiroshi, Onoda Tadashi, Ohno Satoshi, Higaki Kenji, Ninomiya Motoki, Takakura Norihisa

Research output: Contribution to journalArticlepeer-review

Abstract

Postoperative chylous ascites is believed to be a rare complication that may result in serious nutritional and immunological complications due to loss of proteins and lymphocytes. From April 2001 to March 2004, we analyzed cases of chylous ascites following hepato-pancreatic surgery. The complication rate in chylous ascites was 3.4% (7 of 204 cases), then it was not thought to be a rare complication. Regression analysis showd a significant association between the number of days in the presence of chylous ascites and serum albumin, suggesting that chylous ascites must be reduced to improve nutritional condition. Octreotide was effective in the treatment of chylous ascites and a positive outcome was observed within 3 days in all 6 cases of octreotide therapy. For improvement of nutritional condition, early aggressive octreotide use is vital to positive prognosis.

Original languageEnglish
Pages (from-to)631-636
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume39
Issue number5
DOIs
Publication statusPublished - May 2006
Externally publishedYes

Keywords

  • Chylous ascites
  • Octreotide
  • Postoperative complication

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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