Online citations, reference lists, and bibliographies.

Treatment Options For Chylous Ascites After Major Abdominal Surgery: A Systematic Review.

Maximilian Weniger, Jan G. D’Haese, Martin K. Angele, Axel Kleespies, Jens Werner, Werner Hartwig
Published 2016 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
Share
BACKGROUND Chylous leakage is a relevant clinical problem after major abdominal surgery leading to an increased length of stay. DATA SOURCES A systematic search of MEDLINE/PubMed and the Cochrane Library was performed according to the PRISMA statement. The search for the MeSH terms "chylous ascites" and/or "lymphatic fistula" retrieved a total of 2,348 articles, of which 36 full-text articles were reviewed by 2 independent investigators. RESULTS Chylous ascites is described with an incidence of up to 11%, especially after pancreatic surgery. The incidence is increasing with the number of lymph nodes harvested. In patients treated with total parenteral nutrition, conservative treatment is demonstrated to be effective in up to 100% of cases. CONCLUSIONS The extent of abdominal surgery mainly predicts the risk of chylous ascites. Conservative treatment has been shown to be effective in almost all cases and is the treatment of choice.
This paper references
10.1016/S0002-9610(96)00016-5
A prospective cost analysis of pancreatoduodenectomy.
Robert F. Holbrook (1996)
10.1016/j.amjsurg.2013.01.033
Incidence and risk factors of chylous ascites after colorectal cancer surgery.
Se-Jin Baek (2013)
10.1007/s12630-012-9879-1
Mega-dose intravenous octreotide for the treatment of carcinoid crisis: a systematic review
Nicole Seymour (2013)
10.1016/S0022-5347(17)35797-X
Management of chylous ascites after retroperitoneal lymph node dissection for testicular cancer.
Jack Baniel (1993)
10.1016/j.ijsu.2010.02.007
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.
David Moher (2010)
10.1016/S0002-9610(05)81055-4
Management of chyloperitoneum after abdominal aortic surgery.
T. S. Pabst (1993)
10.1016/S1051-0443(98)70382-3
Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study.
C. Cope (1998)
10.1007/BF01261818
[Early postoperative enteral feeding following esophageal resection].
W. Brandmair (1988)
10.1002/lt.23476
Chylous ascites after liver transplantation: incidence and risk factors.
Mehmet Yilmaz (2012)
10.1016/j.juro.2010.03.128
Chylous ascites as a complication of laparoscopic nephrectomy.
Bum Soo Kim (2010)
10.1007/s00464-008-0247-8
Predictive factors for surgical complications of laparoscopy-assisted distal gastrectomy for gastric cancer
C. Kunisaki (2008)
10.1016/j.juro.2006.06.016
Chylous ascites after post-chemotherapy retroperitoneal lymph node dissection: review of the M. D. Anderson experience.
J. Evans (2006)
10.1007/s11605-008-0619-3
Incidence and Management of Chyle Leaks Following Pancreatic Resection: A High Volume Single-Center Institutional Experience
Lia Assumpcao (2008)
10.1097/IGC.0b013e31828eeea4
Lymphocele Prevention After Pelvic Laparoscopic Lymphadenectomy by a Collagen Patch Coated With Human Coagulation Factors: A Matched Case-Control Study
Andrea Tinelli (2013)
10.1002/bjs.1800791110
Aetiology and treatment of chylous ascites.
N. Browse (1992)
10.1016/j.jamcollsurg.2008.07.007
Chylous ascites after pancreaticoduodenectomy: introduction of a grading system.
Niels A. van der Gaag (2008)
10.1259/bjr/64849421
The effectiveness of lymphangiography as a treatment method for various chyle leakages.
Tomohiro Matsumoto (2009)
10.1097/MPA.0b013e31822891f8
Early Enteral Feeding After Distal Pancreatectomy May Contribute to Chyle Leak
Takehiro Noji (2012)
10.1016/j.jmig.2013.07.005
Chylous ascites after laparoscopic lymph node dissection in gynecologic malignancies.
Yuqing Zhao (2014)
10.1002/14651858.CD008370.pub3
Somatostatin analogues for pancreatic surgery.
Kurinchi Selvan Gurusamy (2013)
10.3748/wjg.v10.i17.2588
Chylous ascites: treated with total parenteral nutrition and somatostatin.
Qi Huang (2004)
10.1159/000320692
Milk-Based Test as a Preventive Method for Chylous Ascites following Pancreatic Resection
Hideki Aoki (2010)
10.1016/S0022-5347(01)67616-X
Original Articles: Testis Cancer: Complications of Post-Chemotherapy Retroperitoneal Lymph Node Dissection
J. Baniel (1995)
10.1245/s10434-011-1651-1
Closed Abdomen Hyperthermic Intraperitoneal Chemotherapy with Irinotecan and Mitomycin C: a Phase I Study
E. Cotte (2011)
10.1007/s00270-007-9026-5
Lymphangiography: Forgotten Tool or Rising Star in the Diagnosis and Therapy of Postoperative Lymphatic Vessel Leakage
S. Kos (2007)
10.2214/AJR.12.10008
Therapeutic effectiveness of diagnostic lymphangiography for refractory postoperative chylothorax and chylous ascites: correlation with radiologic findings and preceding medical treatment.
Ryota Kawasaki (2013)
10.1159/000108324
Chyle Leakage and Early Enteral Feeding following Pancreatico-Duodenectomy: Management Options
Hassan Malik (2007)
10.1007/s00464-008-0312-3
General complications following laparoscopic-assisted gastrectomy and analysis of techniques to manage them
Tang Bo (2008)
10.1053/ejso.2000.1088
Chylous ascites after oncological abdominal surgery: incidence and treatment.
Reinoutje Kaas (2001)
10.1111/ases.12057
Chylous ascites as a complication of laparoscopic colorectal surgery.
Takeru Matsuda (2013)
10.1016/0002-9610(92)90264-R
Role of octreotide in the prevention of postoperative complications following pancreatic resection.
Markus W. Buechler (1992)
10.1097/00000658-199709000-00016
Immediate postoperative enteral feeding results in impaired respiratory mechanics and decreased mobility.
James M. Watters (1997)
Incidence and management of chyle leaks following pancreatic resection: a high volume singlecenter institutional experience
L Assumpcao (1915)
10.1002/bjs.9013
Chylous ascites after hepatopancreatobiliary surgery.
S. Kuboki (2013)
10.1007/s00595-012-0132-x
Postoperative chylous ascites after colorectal cancer surgery
Hideaki Nishigori (2012)
Chylous ascites after pancreatico-duodenectomy cholangiocarcinoma xenografts in nude mice.
M. Madanur (2007)
10.1016/S0022-5347(09)60926-5
COMPLICATIONS OF POSTCHEMOTHERAPY RETROPERITONEAL LYMPH NODE DISSECTION FOR ADVANCED TESTIS CANCER
Axel Heidenreich (2009)
10.1097/00000658-199710000-00016
A prospective, randomized trial of early enteral feeding after resection of upper gastrointestinal malignancy.
M. Heslin (1997)
10.1007/s00268-013-1947-3
Selective Policy of No Drain after Pancreaticoduodenectomy Is a Valid Option in Patients at Low Risk of Pancreatic Fistula: A Case-Control Analysis
Chetana Lim (2013)
10.1097/IGC.0b013e318233f24b
Postoperative Chylous Ascites in Patients With Gynecologic Malignancies
Duo Han (2011)
10.1097/TP.0b013e31823b2d8e
Incidence, Diagnosis, and Treatment of Chylous Leakage After Laparoscopic Live Donor Nephrectomy
Enzo Capocasale (2012)
10.1007/s00270-010-0066-x
Lymphangiography in the Diagnosis and Localization of Various Chyle Leaks
S. Deso (2010)
10.1016/j.ygyno.2012.06.023
Chylous ascites: analysis of 24 patients.
Gokhan Tulunay (2012)
10.7326/0003-4819-68-2-398
Studies of the immunologic defects associated with intestinal lymphangiectasia, with some observations on dietary control of chylous ascites.
James E. Mcguigan (1968)
10.1007/s00268-001-0289-8
Higher morbidity and mortality after combined total gastrectomy and pancreaticosplenectomy for gastric cancer
Su-shun Lo (2001)
10.1016/j.clnu.2006.04.007
Early postoperative jejunostomy feeding with an immune modulating diet in patients undergoing resectional surgery for upper gastrointestinal cancer: a prospective, randomized, controlled, double-blind study.
D. Lobo (2006)
10.1097/00005392-199503001-00020
Complications of post-chemotherapy retroperitoneal lymph node dissection.
J. Baniel (1995)
10.1007/s10120-004-0312-5
A rare complication of D3 dissection for gastric carcinoma: chyloperitoneum
S. Yol (2004)
10.1016/j.clnu.2011.02.006
Prospective multicentre randomised controlled trial of early enteral nutrition for patients undergoing major upper gastrointestinal surgical resection.
R. Barlow (2011)
10.1258/ar.2010.090356
Effectiveness of therapeutic lymphography on lymphatic leakage
Enrique Alejandre-Lafont (2011)



This paper is referenced by
10.1016/j.jmig.2017.12.028
Successful Laparoscopic Treatment of Chylous Ascites after Pelvic Lymphadenectomy: A Case Report and Peanut Oil Application.
Junxiu Liu (2018)
Chyloperitoneum: Diagnostic and Therapeutic Options.
Sara Dessalvi (2016)
10.1016/J.FPUROL.2019.02.005
Prise en charge de l’ascite chyleuse postopératoire
Floriane Michel (2019)
10.1016/J.CIRENG.2019.05.011
Incidental chyloperitoneum associated with Petersen's hernia in a patient operated by laparoscopic gastric bypass.
Sergio Rodrigo del Valle Ruiz (2019)
10.1007/s00270-017-1856-1
Lymphangiography and Lymphatic Embolization for the Treatment of Refractory Chylous Ascites
Gregory J. Nadolski (2017)
10.1016/j.ijscr.2019.12.030
Treatment of lymphatic leakage after retroperitoneal tumor resection by lymphangiography and embolization
Gao Jia-wei (2019)
10.1016/J.SENOL.2017.03.004
Ascitis quilosa secundaria a carcinomatosis peritoneal en paciente con cáncer de mama diseminado, un hallazgo inesperado
Begoña Díaz de-la-Noval (2017)
10.1016/j.jpedsurg.2017.06.004
The incidence of chylous ascites after liver transplantation and the proposal of a diagnostic and management protocol.
Toshiharu Matsuura (2018)
10.1007/s11695-020-04548-7
Chylous Ascites Post Laparoscopic Sleeve Gastrectomy: Video Case Report of a Rare Complication
Alwahhaj Khogeer (2020)
10.1097/AOG.0000000000001562
Chylous Ascites Complicating Modified Radical Hysterectomy for Placenta Percreta
Heather Ross Miller (2016)
10.4274/imj.48657
Radiotherapy in the Treatment of High Volume Chylous Fistula Following Hepatectomy : Case Report and Review of the Literature
Osman Nuri Dilek ()
10.1111/apt.14284
Review article: the diagnostic approach and current management of chylous ascites
B Lizaola (2017)
Chylous Ascites in the Setting of Roux-EnY Gastric Bypass : Case Report and Review of the Literature
Nichole E. Zayan (2016)
10.1002/jso.25225
The role of oral oil administration in displaying the chylous tubes and preventing chylous leakage in laparoscopic para‐aortic lymphadenectomy
Guannan Zhou (2018)
10.1007/s00423-016-1500-6
Chylous ascites after colorectal cancer surgery: risk factors and impact on short-term and long-term outcomes
S. Lee (2016)
10.1007/s00423-020-01938-4
Preventing chylous ascites after right hemicolectomy with D3 extended mesenterectomy
Elin Edda Seland Agustsdottir (2020)
10.1016/j.avsg.2020.04.063
Lymphangiography with or without Embolization for the Treatment of Postoperative Lymphatic Leak of the Abdomen and Pelvis: a Case Series and Systematic Review.
Pyeong Hwa Kim (2020)
10.1002/bjs.10316
Incidence, risk factors and clinical implications of chyle leak after pancreatic surgery
Oliver Strobel (2017)
10.1016/j.surg.2016.06.058
Definition and classification of chyle leak after pancreatic operation: A consensus statement by the International Study Group on Pancreatic Surgery
Marc G. Besselink (2017)
10.5180/JSGOE.33.209
Successful confirmation and treatment of the chylous ascites following para-aortic lymph node dissection by feeding high-fat diet before ovarian cancer surgery : A Case Report
Yoko Nishizawa (2017)
10.5980/jpnjurol.108.1
[CHYLOUS LEAKAGE AFTER LAPAROSCOPIC RENAL AND ADRENAL SURGERY].
T. Kanno (2017)
10.1016/j.jvir.2016.08.018
Elucidation of Percutaneously Accessible Lymph Nodes in Swine: A Large Animal Model for Interventional Lymphatic Research.
Dara L. Kraitchman (2017)
10.1002/ar.24143
Call for a Multidisciplinary Effort to Map the Lymphatic System With Advanced Medical Imaging Techniques: A Review of the Literature and Suggestions for Future Anatomical Research.
Michael E J Stouthandel (2019)
10.1016/j.avsg.2017.10.020
Endolymphatic Balloon-Occluded Retrograde Abdominal Lymphangiography (BORAL) and Embolization (BORALE) for the Diagnosis and Treatment of Chylous Ascites: Approach, Technical Success, and Clinical Outcomes.
Ravi N Srinivasa (2018)
10.1080/00015458.2016.1147245
Chylous ascites after pedicled transverse rectus abdominis myocutaneous flap harvest
Chin-Ta Lin (2016)
10.1111/joa.12869
A radio‐anatomical correlation study of the cisterna chyli
Yohann Renard (2018)
10.5833/JJGS.2016.0028
Refractory Lymphatic Fistula after Pancreaticoduodenectomy Treated by Percutaneous Transhepatic Lymphography
Yuto Hozaka (2017)
10.3857/roj.2017.00178
Low-dose radiation therapy for massive chylous leakage after subtotal gastrectomy
Sang-Won Kim (2017)
10.1016/j.ijscr.2018.06.008
Laparoscopic management of refractory chylous ascites using fluorescence navigation with indocyanine green: A case report
Hiroto Shimajiri (2018)
10.5604/01.3001.0011.8172
Chylous complications of various severity and manifestations within diverse compartments in reconstructive vascular surgery #) #) The manuscript is dedicated to Prof. Dr. Z. Halloul.
Udo Barth (2018)
10.1053/J.JEPM.2017.01.024
Chylous Ascites in 2 Ferrets
Laura Vilalta (2017)
10.21037/TAU.2019.08.15
Contemporary lymphatic interventions for post-operative lymphatic leaks.
Bill S Majdalany (2020)
See more
Semantic Scholar Logo Some data provided by SemanticScholar