The research advances on patients with chylous fistula management after pancreatic surgery
10.3760/cma.j.issn.1007-8118.2018.07.018
- VernacularTitle:胰腺术后患者乳糜瘘诊疗的研究进展
- Author:
Siyi ZOU
1
;
Wei WANG
;
Baiyong SHEN
Author Information
1. 上海交通大学医学院附属瑞金医院普通外科
- Keywords:
Pancreatic surgery;
Chylous fistula;
Etiology;
Risk factor;
Diagnosis;
Therapy
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(7):499-502
- CountryChina
- Language:Chinese
-
Abstract:
Chylous fistula is a postoperative complication following pancreatic surgery,it is mainly diagnosed according to the nature of the patient's drainage fluid (≥3 days after surgery,triglyceride concentration ≥ 1.2 mmol/L).The mechanism of occurrence includes obstruction,injury and exudation of the lymph-vessels.Risk factors can be concluded into 3 aspects:clinicopathological features,surgical procedure and postoperative management.Most of the chylorrhea can be cured by conservative treatment like modified dietary measures and somatostatin,while severe cases still requires intervention and surgical treatment.This article reviewed the risk factors and treatment approaches of postoperative chylous fistula,and elucidated relative mechanisms,hoping to provide guidance in clinical prevention,diagnosis and treatment of chylous fistula.
