1887

n South African Journal of Surgery - Successful conservative treatment of chylothorax following oesophagectomy - a clinical algorithm : general surgery

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Abstract

Chylothorax is an infrequent but serious complication after thoracic surgery. Optimal management is still controversial. Surgical re-interventions are associated with significant morbidity and mortality.


During a 2-year period, 3 patients developed chylothorax after oesophagectomy. This was treated conservatively, following our departmental protocol.
Conservative management (total parenteral nutrition, bowel rest, pleural drainage and octreotide, followed by a low-fat diet) was successful in all 3 cases within a reasonable period of time (14 - 18 days).
We recommend conservative measures as the first-line treatment for postoperative chylothorax.

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/content/m_sajs/48/3/EJC66827
2010-08-01
2016-12-02
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