A review of traumatic chylothorax

Pillay, Thillagavathie; Singh, Bhugwan

doi:10.1016/j.injury.2015.12.015

Cited by 83 publications

(122 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If an anastomotic leakage occurs, the patient should be kept nil by mouth, and full enteral tube feeding in accordance with the individual's estimated energy, protein and fluid requirements, or parenteral nutrition if the enteral route is not available is needed until oral feeding can be reinitiated. Another rare but severe complication from esophagectomy is a chylothorax, which is associated with life-threatening metabolic, immunologic, and respiratory complications [94][95][96][97]. It is caused by leakage or disruption of the thoracic duct during en bloc lymphadenectomy and typically becomes clinically apparent at 2-10 days after surgery [96][97][98].…”

Section: Surgery-related Complicationsmentioning

confidence: 99%

“…Another rare but severe complication from esophagectomy is a chylothorax, which is associated with life-threatening metabolic, immunologic, and respiratory complications [94][95][96][97]. It is caused by leakage or disruption of the thoracic duct during en bloc lymphadenectomy and typically becomes clinically apparent at 2-10 days after surgery [96][97][98]. Rapid identification of the presence of a chylothorax is crucial in managing a chylous leak, since early detection has been shown to improve patient outcomes and limit complications [97].…”

Section: Surgery-related Complicationsmentioning

confidence: 99%

“…It is caused by leakage or disruption of the thoracic duct during en bloc lymphadenectomy and typically becomes clinically apparent at 2-10 days after surgery [96][97][98]. Rapid identification of the presence of a chylothorax is crucial in managing a chylous leak, since early detection has been shown to improve patient outcomes and limit complications [97]. Complications can be devastating and include malnutrition, physiological derangements, and immunodepression [94,95,97].…”

Section: Surgery-related Complicationsmentioning

confidence: 99%

“…Rapid identification of the presence of a chylothorax is crucial in managing a chylous leak, since early detection has been shown to improve patient outcomes and limit complications [97]. Complications can be devastating and include malnutrition, physiological derangements, and immunodepression [94,95,97]. It is universally accepted that nutritional depletion occurs soon after the onset of a chyle leak, necessitating early nutritional support [97].…”

Section: Surgery-related Complicationsmentioning

confidence: 99%

See 3 more Smart Citations

Nutrition in peri-operative esophageal cancer management

Steenhagen

Vulpen

Hillegersberg

et al. 2017

Expert Review of Gastroenterology & Hepatology

View full text Add to dashboard Cite

Introduction: Nutritional status and dietary intake are increasingly recognized as essential areas in esophageal cancer management. Nutritional management of esophageal cancer is a continuously evolving field and comprises an interesting area for scientific research. Areas covered: This review encompasses the current literature on nutrition in the pre-operative, perioperative, and post-operative phases of esophageal cancer. Both established interventions and potential novel targets for nutritional management are discussed. Expert commentary: To ensure an optimal pre-operative status and to reduce peri-operative complications, it is key to assess nutritional status in all pre-operative esophageal cancer patients and to apply nutritional interventions accordingly. Since esophagectomy results in a permanent anatomical change, a special focus on nutritional strategies is needed in the post-operative phase, including early initiation of enteral feeding, nutritional interventions for post-operative complications, and attention to longterm nutritional intake and status. Nutritional aspects of pre-optimization and peri-operative management should be incorporated in novel Enhanced Recovery After Surgery programs for esophageal cancer.ARTICLE HISTORY

show abstract

Section: Surgery-related Complicationsmentioning

confidence: 99%

Section: Surgery-related Complicationsmentioning

confidence: 99%

Section: Surgery-related Complicationsmentioning

confidence: 99%

Section: Surgery-related Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Nutrition in peri-operative esophageal cancer management

Steenhagen

Vulpen

Hillegersberg

et al. 2017

Expert Review of Gastroenterology & Hepatology

View full text Add to dashboard Cite

show abstract

“…Chylotorax is a rare complication after thoracic surgery, occurring in 0.5% to 2% after esophagectomy (35,36) and 1.4% to 2.3% after lung resection (37,38). Even rare, chylothorax can be a difficult complication leading to immunologic compromise, pneumonias and death in up to 30% of patients (39)(40)(41)(42).…”

Section: Discussionmentioning

confidence: 99%

Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania

Gîndea¹,

Constantin²,

Hoara³

et al. 2018

chr

View full text Add to dashboard Cite

RezumatIntroducere: Diverticulul esofagian toracic reprezintă o patologie rară, frecvent asociată cu tulburări de motilitate esofagiană. Chirurgia reprezintă singura opţiune terapeutică la pacienţii cu simptome severe. Metodă: Studiu retrospectiv pe un lot de 10 pacienţi ce au suferit diverticulectomie pentru simptomatologia provocată de diverticulii epifrenici sau medio-toracici. Au fost înregistrate principalele simptome preoperatorii, analizele de sânge uzuale, tranzitul baritat, endoscopia superioară şi manometria esofagiană. Am analizat complicaţiile postoperatorii, durata de spitalizare şi perioada petrecută la terapie intensivă. Rezultate: Majoritatea pacienţilor au prezentat regurgitaţii, disfagie sau ambele. Abordul chirurgical a fost prin toracotomie stângă sau pe cale abdominală pentru diverticulii epifrenici şi prin toracotomie dreaptă sau toracoscopie pentru diverticulii mediotoracici. 4 pacienţi au prezentat complicaţii severe: 3 fistule majore (un deces) şi un chilotorax. Discuţii: Chirurgia diverticulilor toracici este asociata cu rate mari de mobiditate şi mortalitate. Fistula produsă la nivelul liniei de sutură este cea mai frecventa complicaţie, spre deosebire de chilotorax ce survine mai rar. Concluzii: Diverticulul esofagian toracic voluminos este o patologie benignă cu complicaţii "maligne". O evaluare preoperatorie Chirurgia, 113 (1), 2018 www.revistachirurgia.ro 145

show abstract

Cardiothoracic Surgery and Nutrition

Patel,

Nixon

2023

Nutritional Management of the Surgical Patient

View full text Add to dashboard Cite

A review of traumatic chylothorax

Cited by 83 publications

References 30 publications

Nutrition in peri-operative esophageal cancer management

Nutrition in peri-operative esophageal cancer management

Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania

Cardiothoracic Surgery and Nutrition

Contact Info

Product

Resources

About