n South African Journal of Surgery - Successful conservative treatment of chylothorax following oesophagectomy - a clinical algorithm : general surgery
|Article Title||Successful conservative treatment of chylothorax following oesophagectomy - a clinical algorithm : general surgery|
|© Publisher:||Medpharm Publications|
|Journal||South African Journal of Surgery|
|Author||Frank Benedix, Hans-Ulrich Schulz, Hubert Scheidbach, Hans Lippert and Frank Meyer|
|Publication Date||Aug 2010|
|Pages||86 - 88|
Objectives. 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.
Design. During a 2-year period, 3 patients developed chylothorax after oesophagectomy. This was treated conservatively, following our departmental protocol.
Results. 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).
Conclusion. We recommend conservative measures as the first-line treatment for postoperative chylothorax.
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