Fístula quilosa poslinfadenectomía axilar

Flores, Erene V.; Castro, Gonzalo de; Casal, E.; Sobrino, Constantino

doi:10.1016/j.ciresp.2012.09.004

Cited by 3 publications

(2 citation statements)

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“…The thoracic duct usually drains to the internal jugular vein or subclavian vein but it may join the external jugular vein or innominate vein [ 4 , 5 , 7 ]. Classically, the cause of chylous fistula is assumed to be injury to the main thoracic duct or its terminal rami [ 2 – 4 , 8 , 9 ]. However, an increasing number of authors suggest that the injury is more probably caused at the subclavian duct or its tributaries, as this duct is very inconsistent and its location is closely related to Berg's level II lymph node dissection [ 3 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Chylous Fistula following Axillary Lymphadenectomy: Benefit of Octreotide Treatment

González-Sánchez-Migallón

Aguilar-Jiménez²,

García-Marín³

et al. 2016

Case Reports in Surgery

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Chyle leak following axillary lymph node clearance is a rare yet important complication. The treatment of postoperative chyle fistula still remains unclear. Conservative management is the first line of treatment. It includes axillary drains on continuous suction, pressure dressings, bed rest, and nutritional modifications. The use of somatostatin analogue is well documented as a treatment for chylous fistulas after neck surgery. We present a case of chylous fistula after axillary surgery resolved with the use of octreotide.

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Section: Discussionmentioning

confidence: 99%

“…These measures also include maintaining axillary drainage, a pressure bandage, and rest. Some authors have suggested the use of parenteral nutrition although this measure is very controversial [ 2 – 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%