Clinical Analysis of Chylous Ascites after Surgery for Gastric Cancer.
10.5230/jkgca.2002.2.1.20
- Author:
Jeong Hun HONG
1
;
Byung Wook MIN
;
Gyung Bum LEE
;
Young Jae MOK
Author Information
1. Department of Surgery, Korea University College of Medicine, Seoul, Korea. yjmok@mail.korea.ac.kr
- Publication Type:Original Article
- Keywords:
Gastric cancer;
Chylous ascites;
Conservative treatment
- MeSH:
Chylous Ascites*;
Diagnosis;
Drainage;
Eating;
Fasting;
Gastrectomy;
Humans;
Incidence;
Lymphatic System;
Meals;
Mortality;
Paracentesis;
Parenteral Nutrition, Total;
Peritoneal Cavity;
Retrospective Studies;
Stomach Neoplasms*
- From:Journal of the Korean Gastric Cancer Association
2002;2(1):20-25
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Chylous ascites is an accumulation of lymphatic fluid within the peritoneal cavity due to trauma or to an obstruction on the lymphatic system. Postoperative chylous ascites is a rare complication of abdominal surgery. It is frequently reported after retroperitoneal dissections and results in high morbidity and mortality. However, there have been few report of such a complication following a radical gastrectomy. Therefore, we review the clinical analysis and treatment of chylous ascites based on our experience. MATERIALS AND METHODS: From July 1992 to June 2001, we treated 13 cases of chylous ascites after operations for gastric cancer. We reviewed medical charts of those patients retrospectively. RESULTS: The incidence of chylous ascites after operations for gastric cancer was 0.83% (13/1552). The mean time from ingestion of a meal after the operation to the development of symptoms was 2 days (range: 1~6 days). Conservative treatment by fasting, total parenteral nutrition (TPN), and repeated paracentesis was successful in all patients. The mean time from diagnosis to complete resolution was 25 days (range: 2~105 days). CONCLUSION: Chylous ascites should be considered in any patient with a typical milky color of drainage who has recently undergone radical gastrectomy. Treatment with fasting, TPN, and repeated paracentesis usually is successful.
