SciELO - Scientific Electronic Library Online

 
vol.48 issue3Laparoscopic splenectomy: Consensus and debatable pointsAnalysis of epidemiology, lesions, treatment and outcome of 354 consecutive cases of blunt and penetrating trauma to the chest in an African setting author indexsubject indexarticles search
Home Pagealphabetic serial listing  

South African Journal of Surgery

On-line version ISSN 2078-5151

Abstract

BENEDIX, Frank et al. Successful conservative treatment of chylothorax following oesophagectomy - a clinical algorithm. S. Afr. j. surg. [online]. 2010, vol.48, n.3, pp. 86-88. ISSN 2078-5151.

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.

        · text in English     · English ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License