Neck chylous fistula: conservative treatment
Injury to the thoracic duct, leading to chyle leak, occurs in 1-2,5% of patients who undergo neck dissection. Associated complications include malnutrition, immune compromise, fistula formation and carotid blowout. No definitive treatment algorithm can be deduced from the current literature, but on...
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| Veröffentlicht in: | Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral 2010-11, Vol.25 (6), p.1041-1044 |
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| container_title | Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral |
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| creator | López Otero, Maria J Fernández López, Maria T Outeiriño Blanco, E Álvarez Vázquez, P Pinal Osorio, I Iglesias Diz, D |
| description | Injury to the thoracic duct, leading to chyle leak, occurs in 1-2,5% of patients who undergo neck dissection. Associated complications include malnutrition, immune compromise, fistula formation and carotid blowout. No definitive treatment algorithm can be deduced from the current literature, but on last reviews, there is an agreement on the conservative management. Medical management is based on that decreasing chyle flow will allow for spontaneous closure of the chyle leak. Conservative treatment includes: closed vacuum drainage, bed-rest, nutrition modification and synthetic somatostatin analog. Nutrition modification involves a low-fat diet supplemented with medium-chain triglycerides (MCT), enteral nutrition with high percentage of MCT or parenteral nutrition. |
| doi_str_mv | 10.3305/nh.2010.25.6.4802 |
| format | Article |
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Associated complications include malnutrition, immune compromise, fistula formation and carotid blowout. No definitive treatment algorithm can be deduced from the current literature, but on last reviews, there is an agreement on the conservative management. Medical management is based on that decreasing chyle flow will allow for spontaneous closure of the chyle leak. Conservative treatment includes: closed vacuum drainage, bed-rest, nutrition modification and synthetic somatostatin analog. 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| fulltext | fulltext |
| identifier | EISSN: 1699-5198 |
| ispartof | Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral, 2010-11, Vol.25 (6), p.1041-1044 |
| issn | 1699-5198 |
| language | spa |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adenoma - surgery Adult Chyle Drainage Female Fistula - etiology Fistula - therapy Humans Lymph Node Excision Lymphatic Diseases - etiology Lymphatic Diseases - therapy Neck Dissection - adverse effects Parenteral Nutrition Postoperative Complications - therapy Thoracic Duct - injuries Thyroid Neoplasms - surgery Thyroidectomy |
| title | Neck chylous fistula: conservative treatment |
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