287 results match your criteria Chyle Fistula


Negative-Pressure Vacuum Therapy for High-Output Chyle Leak Following Neck Dissection.

Innovations (Phila) 2020 Jul 5:1556984520935535. Epub 2020 Jul 5.

The Hebrew University Medical School, Jerusalem, Israel.

Chyle fistula is a challenging complication following neck dissection carrying a high morbidity and mortality rate. Herein we present a challenging case of successful management of high-output left-sided cervical chyle fistula with negative-pressure vacuum (VAC) therapy in a case where all conservative treatments failed. A 40-year-old man with lymphoma and supraglottic carcinoma underwent endoscopic resection and bilateral neck dissections. Read More

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http://dx.doi.org/10.1177/1556984520935535DOI Listing

False vocal cord perforation with abscess treated by negative pressure wound therapy.

SAGE Open Med Case Rep 2020 2;8:2050313X20915415. Epub 2020 Apr 2.

Department of Otolaryngology-Head & Neck Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

Perforation of the larynx is very rare but may result in severe airway complications that include pneumothorax, pneumonia, mediastinitis, and retropharyngeal abscess. If conservative treatment fails, aggressive treatments including reconstructive surgery with pedicle flap are considered. Negative pressure wound therapy has been used for large skin defects, necrotizing fasciitis, pharyngocutaneous fistula, stoma dehiscence, osteoradionecrosis of the mandible, chyle fistula, flap failure, and lymphangioma in the field of head and neck surgery. Read More

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http://dx.doi.org/10.1177/2050313X20915415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139174PMC

Ultrasound-guided percutaneous injection of Pseudomonas aeruginosa-mannose sensitive hemagglutinin for treatment of chyle fistula following neck dissection: Two case reports.

Medicine (Baltimore) 2020 Jan;99(5):e18816

Department of Thyroid and Parathyroid Surgery Center.

Rationale: Chyle fistula is a rare but troublesome complication of neck dissection. Topical application of Pseudomonas aeruginosa-mannose sensitive hemagglutinin (PA-MSHA) injection has been reported as a novel, viable, and effective approach in the treatment of chyle fistula following neck dissection. However, there have been no reports regarding the treatment of chyle fistula using ultrasound (US)-guided percutaneous injection of PA-MSHA. Read More

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http://dx.doi.org/10.1097/MD.0000000000018816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004758PMC
January 2020
5.723 Impact Factor

Pseudomonas aeruginosa-mannose sensitive hemagglutinin injection therapy for the treatment of chyle fistula following neck dissection.

Head Neck 2020 Apr 28;42(4):725-731. Epub 2019 Dec 28.

Department of Thyroid and Parathyroid Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Background: The efficacy of Pseudomonas aeruginosa-mannose sensitive hemagglutinin (PA-MSHA) injection therapy in the treatment of chyle fistula following neck dissection is unclear.

Methods: This prospective study enrolled 26 patients who developed chyle fistula after neck dissection. Patients were divided into high-output (>500 mL) and low-output groups (≤500 mL) and were initially treated conservatively for 5 days in the high-output group or 7 days in the low-output group. Read More

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http://dx.doi.org/10.1002/hed.26054DOI Listing
April 2020
2.641 Impact Factor

Surgical Complications After Thyroid Surgery: A 10-Year Experience at Jeddah, Saudi Arabia.

Indian J Otolaryngol Head Neck Surg 2019 Oct 27;71(Suppl 1):1012-1017. Epub 2019 Jun 27.

Department of Surgery, Section of Otolaryngology-Head and Neck Surgery, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, P.O. Box 9515, Jeddah, 21423 Saudi Arabia.

To evaluate the incidence and predictive risk factors of complications in patients who underwent thyroid surgery at our hospital with a residency training program. This retrospective cohort study analyzed the complications in all patients who underwent thyroid surgery between January 2008 and December 2017. Demographic data, preoperative diagnosis based on fine needle aspiration cytology, surgical approach, permanent pathology, postoperative complications, and factors associated with complications were recorded. Read More

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http://dx.doi.org/10.1007/s12070-019-01695-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848463PMC
October 2019

Laryngectomy With or Without Partial Pharyngectomy: A Systematic Review.

Indian J Otolaryngol Head Neck Surg 2019 Oct 24;71(Suppl 1):489-496. Epub 2018 Apr 24.

1Department of ENT, JSS Hospital and University, Mysuru, India.

Complications following the total laryngectomy with or without partial pharyngectomy with neck dissection for laryngeal and pyriform fossa malignancies like aspiration, pharyngocutaneous fistula wound infection, flap necrosis, haematoma, chyle fistula and carotid blowout can cause serious implication on the final outcome of the treatment, which leads to increased postoperative morbidity, hospital stay and hospital cost. A prospective study in the Department of Otolaryngology and Head-Neck Surgery, JSS Hospital, Mysore, from November 2014 to July 2016. 30 patients undergoing Total laryngectomy with or without partial pharyngectomy for laryngeal and pyriform fossa were included in this study. Read More

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http://dx.doi.org/10.1007/s12070-018-1366-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848583PMC
October 2019

High Output Chylous Fistula Post First Rib Resection.

Ann Vasc Surg 2020 Feb 14;63:455.e1-455.e5. Epub 2019 Oct 14.

Department of Surgery, The Wollongong Hospital, Wollongong, New South Wales, Australia; University of Wollongong, Graduate School of Medicine, Wollongong, New South Wales, Australia.

We present a patient who developed high output chyle leak post left first-rib resection for neurogenic thoracic outlet syndrome. The persistent high output chylorrhea was refractory to 3 surgical reexplorations attempting to ligate leaking branches, bed rest, nonfat diet, parenteral nutrition, octreotide administration, and vacuum-assisted closure (VAC) therapy. In addition, she developed hypovolemia, hyponatremia, and hypoalbuminemia. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.07.023DOI Listing
February 2020
1 Read

Operative results and patient satisfaction after robotic pancreaticoduodenectomy.

Asian J Surg 2020 Apr 9;43(4):519-525. Epub 2019 Oct 9.

Department of Surgery, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan. Electronic address:

Background/objective: There are no reports available on patient satisfaction and quality-of-life after robotic pancreaticoduodenectomy (RPD). This study aimed to evaluate not only surgical outcomes but also patient satisfaction after RPD.

Methods: Prospectively collected data for RPD were analyzed for surgical outcomes. Read More

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http://dx.doi.org/10.1016/j.asjsur.2019.08.012DOI Listing
April 2020
1 Read

High-output chyle leak after breast-conserving surgery and sentinel lymph node biopsy.

Breast J 2020 Mar 8;26(3):514-516. Epub 2019 Sep 8.

Comprehensive Breast Program, Moffitt Cancer Center, Tampa, Florida.

Postoperative chyle leak is an exceedingly rare complication following breast and axillary surgery. We present the first described case of chyle leak following breast-conserving surgery and sentinel lymph node biopsy. Management should begin with appropriated conservative measures aimed at reduction of lymph production and flow. Read More

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http://dx.doi.org/10.1111/tbj.13533DOI Listing
March 2020
2 Reads

Early Versus Late Oral Refeeding After Pancreaticoduodenectomy for Malignancy: a Comparative Belgian-French Study in Two Tertiary Centers.

J Gastrointest Surg 2019 Jul 19. Epub 2019 Jul 19.

Department of Hepato-Pancreatico-Biliary Surgery and Liver Transplantation, Pôle des Maladies de l'Appareil Digestif, et Université Paris VII, Hôpital Beaujon, AP-HP, 100 Boulevard du Général Leclerc, Clichy, 92110, Paris, France.

Background: In the era of fast-track surgery, because pancreaticoduodenectomy (PD) carries a significant morbidity, surgeons hesitate to begin early oral feeding and achieve early discharge. We compared the outcome of two different approaches to the postoperative management of PD in two tertiary centers.

Methods: Of patients having undergone PD for malignancy from 2008 to 2017, 100 patients who received early postoperative oral feeding (group A) were compared to 100 patients from another center who received early enteral feeding and a delayed oral diet (group B). Read More

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http://dx.doi.org/10.1007/s11605-019-04316-8DOI Listing
July 2019
8 Reads

Massive cervical chylous fistula after left cervical dissection.

Cir Esp 2020 Jan 14;98(1):44. Epub 2019 Jun 14.

Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario Virgen de las Nieves, Granada, España.

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http://dx.doi.org/10.1016/j.ciresp.2019.03.009DOI Listing
January 2020
1 Read

Abdominal drainage versus no drainage after distal pancreatectomy: study protocol for a randomized controlled trial.

Trials 2019 Jun 7;20(1):332. Epub 2019 Jun 7.

Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Background: The placement of prophylactic intra-abdominal drains has been common practice in abdominal operations including pancreatic surgery. The PANDRA trial showed that the omission of drains following pancreatic head resection was non-inferior to intra-abdominal drainage in terms of postoperative reinterventions and superior in terms of clinically relevant pancreatic fistula rate and fistula-associated complications. The aim of the present PANDRA II trial is to evaluate the clinical outcome with versus without prophylactic drain placement after distal pancreatectomy. Read More

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https://trialsjournal.biomedcentral.com/articles/10.1186/s13
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http://dx.doi.org/10.1186/s13063-019-3442-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6555976PMC
June 2019
7 Reads

Fluorescent imaging using indocyanine green during esophagectomy to prevent surgical morbidity: a systematic review and meta-analysis.

J Thorac Dis 2019 Apr;11(Suppl 5):S755-S765

Department of Surgery, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.

Background: Fluorescent imaging using indocyanine green (ICG) is an emerging technique that aids the surgeon with intraoperative decision making during upper gastrointestinal cancer surgery. In this systematic review we aim to provide an overview of current practice of fluorescence imaging using ICG during esophagectomy, and to show how this technology can prevent surgical morbidity, such as anastomotic leakage, graft necrosis and chylothorax.

Methods: The PRISMA standard for systematic reviews was used. Read More

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http://dx.doi.org/10.21037/jtd.2019.01.30DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503266PMC
April 2019
9 Reads

Complications After Esophagectomy.

Surg Clin North Am 2019 Jun;99(3):501-510

Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, University of Wisconsin School of Medicine, 600 Highland Avenue K4/752, Madison, WI 53792-7375, USA. Electronic address:

Esophagectomy is the mainstay for treating esophageal cancers and other pathology. Even with refinements in surgical techniques and the introduction of minimally invasive approaches, the overall morbidity remains formidable. Complications, if not quickly recognized, can lead to significant long-term sequelae and even death. Read More

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http://dx.doi.org/10.1016/j.suc.2019.02.011DOI Listing
June 2019
14 Reads

Spontaneous cervical chyle fistula: A case report.

Am J Otolaryngol 2019 Jul - Aug;40(4):598-600. Epub 2019 Apr 2.

Cleveland Clinic, Head and Neck Institute, Cleveland, OH, USA. Electronic address:

Background: Cervical chylous fistulae are rare complications usually occurring from iatrogenic injury to the thoracic duct. There have been no reported cases of spontaneous chyle leaks in surgical naïve necks.

Methods: Case report. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01960709193026
Publisher Site
http://dx.doi.org/10.1016/j.amjoto.2019.04.004DOI Listing
December 2019
31 Reads

Surgical, survival, and oncological outcomes after vascular resection in robotic and open pancreaticoduodenectomy.

Surg Endosc 2020 01 8;34(1):377-383. Epub 2019 Apr 8.

Departments of Surgery, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan.

Background: To evaluate the surgical, oncological, and survival outcomes after pancreaticoduodenectomy (PD) with superior mesenteric vein (SMV)/portal vein (PV) resection by either robotic PD (RPD) or open PD (OPD).

Methods: Data of patients with periampullary lesions undergoing PD were retrieved from a prospectively collected computer database. Surgical risks as well as oncological and survival outcomes were compared between patients with (vein resection group) and without SMV/PV resection (without vein resection group). Read More

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http://dx.doi.org/10.1007/s00464-019-06779-xDOI Listing
January 2020
8 Reads

Mild hypothermia is associated with improved outcomes in patients undergoing microvascular head and neck reconstruction.

Am J Otolaryngol 2019 May - Jun;40(3):418-422. Epub 2019 Mar 16.

Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

Objective: Microvascular free tissue transfer has become the standard for reconstruction for large defects. With long operative times and an increased surface area exposed, transient hypothermia is common, but it is unclear how this impacts surgical outcomes. This study evaluated the impact of core body temperature on free tissue flap outcomes in patients undergoing microvascular reconstruction. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.03.010DOI Listing
October 2019
4 Reads

Chylous fistula: management of a rare complication following right anterior cervical spine approach.

Eur Spine J 2019 06 28;28(Suppl 2):61-67. Epub 2019 Feb 28.

Department of Neurosurgery, Tor Vergata University Medical School, University of Rome "Tor Vergata", V.le Oxford 81, 00133, Rome, Italy.

Purpose: Chylorrhea resulting from injury of the lymphatic system during neck dissection is a well-known complication. It is an uncommon occurrence in spinal surgery, and only one case after right anterior cervical spine surgery has been described so far. Despite its rarity, chylous leakage deserves a particular attention since it may become a serious and occasionally fatal complication if not detected early and managed appropriately. Read More

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http://dx.doi.org/10.1007/s00586-019-05929-yDOI Listing
June 2019
20 Reads

An air-containing mediastinal mass in a patient with a primary adenocarcinoma of the right lung.

Acta Chir Belg 2019 Oct 6;119(5):347. Epub 2019 Feb 6.

Department of Thoracic Surgery, Universitair Ziekenhuis Brussel , Brussels , Belgium.

The following case report elicits the treatment of a 55-year-old male who was diagnosed with a surinfected mediastinal chyloma as a complication of mediastinoscopy and radiotherapy for a primary adenocarcinoma of the right lung (cT2aN2M0). The patient was admitted to the hospital after radiographical imaging showed a surinfected mediastinal chyloma. CT-guided percutaneous drainage was performed and via gastroscopy a fistula was diagnosed for which a full covered stent was placed. Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2019.1
Publisher Site
http://dx.doi.org/10.1080/00015458.2019.1569939DOI Listing
October 2019
32 Reads

Negative Pressure Wound Therapy (Wound VAC) in the Treatment of Chylous Fistula After Neck Dissection.

Ann Otol Rhinol Laryngol 2019 Jun 29;128(6):569-574. Epub 2019 Jan 29.

1 Department of Surgery, Otolaryngology Division, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

Objectives: Cervical chylous fistula is an uncommon but potentially severe occurrence associated with neck surgery. Methods for treating this problem have inconsistent efficacy and may result in lengthy hospital stays. Negative pressure wound therapy (NPWT) is a highly effective tool in the management of complex wounds. Read More

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http://dx.doi.org/10.1177/0003489419827037DOI Listing
June 2019
11 Reads
1.054 Impact Factor

[Rare case of nonparasitic chyluria].

Urologe A 2019 Feb;58(2):151-154

Abteilung für Urologie, Asklepios Klinik Barmbek, Rübenkamp 220, 22291, Hamburg, Deutschland.

Chyluria, a symptom that is very rare in the western world, describes the excretion of chyle into the urogenital system. We present the case of a 61-year-old woman with a severe form of nonparasitic chyluria. We were able to detect the fistula due to a newly developed diagnostic combination of Sudan III red with ureterorenoscopy. Read More

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http://dx.doi.org/10.1007/s00120-018-0849-2DOI Listing
February 2019
5 Reads

Low-Dose Radiation Therapy is an Effective Treatment for Refractory Postoperative Chylous Ascites: A Case Report.

Pract Radiat Oncol 2019 May 15;9(3):153-157. Epub 2018 Dec 15.

Department of Surgery, Oregon Health & Science University, Portland, Oregon.

Purpose: When lymphatic pathways are disrupted via obstruction or traumatic injury, a temporary or chronic chyle leak may result, which is defined as the presence of chyle that collects outside of the lymphatic vessels within the thoracic or abdominal cavities. For a chyle leak that is refractory to surgical repair, no good options exist. Radiation therapy (RT) can result in scarring and fibrosis of the lymphatic fistula. Read More

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http://dx.doi.org/10.1016/j.prro.2018.12.001DOI Listing
May 2019
31 Reads

Chyle fistula as complication of thyroid surgery in malignant pathology.

Endocrinol Diabetes Nutr 2019 Apr 8;66(4):247-253. Epub 2018 Oct 8.

Departamento de Cirugía, Pediatría y Obstetricia, y Ginecología, Universidad de Murcia, Murcia, España; Servicio de Cirugía General y de Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, El Palmar, Murcia, España; Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB-Arrixaca), Murcia, España.

Introduction: Cervical chyle fistula (CF) is exceptional, and there is no agreement on its treatment. The study objective was to assess the efficacy of conservative and surgical treatment in this condition.

Method: Study population: Patients undergoing thyroid surgery who experience CF after the procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S25300164183019
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http://dx.doi.org/10.1016/j.endinu.2018.07.006DOI Listing
April 2019
17 Reads

Successful Management of Chylothorax With Etilefrine: Case Report in 2 Pediatric Patients.

Pediatrics 2018 05;141(5)

Hospital de Emergencias Pediatricas, Lima, Perú; and

Chylothorax is defined as the accumulation of chyle within the pleural space. Originally described in 1917 by Pisek, it is the most common cause of pleural effusion in the neonatal period. The leading cause of chylothorax is laceration of the thoracic duct during surgery, which occurs in 0. Read More

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http://dx.doi.org/10.1542/peds.2016-3309DOI Listing
May 2018
14 Reads

[Safety evaluation on initial 100 consecutive procedures of self-pulling and latter transected esophagojejunostomy].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Feb;21(2):206-211

Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.

Objective: To evaluate the feasibility and the short-term safety of self-pulling and latter transected esophagojejunostomy(SPLT) in totally laparoscopic total gastrectomy (TLTG).

Methods: One hundred patients with gastric cancer received TLTG-SPLT at General Surgery Department of Huashan Hospital (Fudan University) from June 2014 to January 2017(SPLT group). The clinicopathologic characteristics, surgical and postoperative outcomes were collected retrospectively and compared with the conventional group undergoing TLTG plus overlap or functional end-to-end anastomosis from October 2013 to December 2015. Read More

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February 2018
25 Reads

Successful salvage for the intractable massive chylous leakage in a cirrhotic patient: A case report and literature review.

Medicine (Baltimore) 2017 Dec;96(49):e9103

aDepartment of Surgery, Chang Gung Memorial Hospital, Linkou, TaoyuanbDepartment of Otolaryngology-Head and Neck SurgerycCenter of Excellence for Chang Gung Research Datalink, Chang Gung Memorial Hospital, ChiayidDepartment of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, TaoyuaneDivision of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University HospitalfSchool of medicine, College of Medicine, China Medical University, TaichunggInstitute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan, Taiwan.

Rationale: Iatrogenic chylous leakage (CL) is a rare but potentially life-threatening complication after neck surgery. In cirrhotic patient, the massive CL is even more intractable and extremely dangerous due to portal hypertension.

Patients Concerns: A 54-year-old liver cirrhotic patient had milky fluid leakage from left neck drainage tube after neck dissection surgery and hypopharyngeal cancer ablation. Read More

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http://dx.doi.org/10.1097/MD.0000000000009103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728955PMC
December 2017
28 Reads

Chyle fistula in advanced and metastatic thyroid cancer.

Gland Surg 2017 Oct;6(5):437-442

Division of Endocrine Surgery, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital-Policlinico "G. Martino", University of Messina, Messina, Italy.

Background: Chyle fistula (CF) is a rare but challenging condition for the surgeon and the patient's health.

Methods: A retrospective review of single surgeon's case load in a 12-year period is presented, reviewing the case of those patients presenting with a CF.

Results: Three patients were found during this study period from more than 1,050 surgeries performed due to thyroid cancer. Read More

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http://dx.doi.org/10.21037/gs.2017.07.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676161PMC
October 2017
18 Reads

Filiarial chyluria with nephrotic-range proteinuria and associated hypoalbuminaemia and hypogammaglobulinaemia secondary to bilateral lymphorenal fistulae.

BMJ Case Rep 2017 Oct 4;2017. Epub 2017 Oct 4.

Department of Internal Medicine, Royal Perth Hospital, Perth, Western Australia, Australia.

A 55-year-old man of Indian descent, presented to the emergency department with a 2-year history of passing 'milky' white urine, associated with dysuria, urinary retention, bilateral flank pain and 15 kg weight loss. He had migrated to Australia from India at the age of 16, with no overseas travel since, and denied having any fevers, rigours or chills. He was found to have chyluria and nephrotic-range proteinuria with marked hypoalbuminaemia and hypogammaglobulinaemia. Read More

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http://dx.doi.org/10.1136/bcr-2017-221114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652507PMC
October 2017
16 Reads

Conservative management of postoperative chylous fistula with octreotide and peripheral total parenteral nutrition.

Ear Nose Throat J 2017 Jul;96(7):264-267

Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Ngan Shing Street, Shatin, N.T., Hong Kong SAR.

Postoperative chylous fistula after neck dissection is an uncommon complication associated with significant patient morbidity. Octreotide acetate is a somatostatin analogue established in the treatment of chylothorax; however, its utility in the management of cervical chylous fistulae has not been fully evaluated. The investigators hypothesized that chylous fistula can be managed by a combination of octreotide and peripheral total parenteral nutrition (TPN). Read More

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http://dx.doi.org/10.1177/014556131709600720DOI Listing
July 2017
59 Reads

Two cases of spontaneous remission of non-parasitic chyluria.

Clin Biochem 2017 Oct 4;50(15):886-888. Epub 2017 May 4.

Division of Nephrology & Hypertension, Department of Medicine, Weill Cornell Medical College, New York, NY, United States; Renal Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address:

Objectives: Chyluria is a medical condition with presence of chyle in urine. The disease is most prevalent in South East Asian countries mostly caused by parasitic (Wuchereria bancrofti) infections. Our objective was to investigate the spontaneous remission of non-parasitic chyluria. Read More

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http://dx.doi.org/10.1016/j.clinbiochem.2017.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5586652PMC
October 2017
114 Reads

[A consensus statement on the diagnosis, treatment, and prevention of common complications after pancreatic surgery (2017)].

Authors:

Zhonghua Wai Ke Za Zhi 2017 May;55(5):328-334

Based on the latest update of the consensus statement by the International Study Group of Pancreatic Surgery, combined with China's actual situation, an update of the previous 2010 consensus on the Chinese experts of the prevention and treatment of common complications after pancreatic surgery was developed, with more than 20 extinguished experts to participate in, following many thorough discussions.This statement included pancreatic fistula, biliary fistula, postoperative bleeding, intraperitoneal infection and gastric emptying delay, and a new chapter of chyle leak. Each chapter is defined in terms of definition, grade, classification, prevention and treatment. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2017.05.003DOI Listing
May 2017
21 Reads

[Chyluria with "nephrotic syndrome-like" presentation: Diagnostic and therapeutic approach].

Prog Urol 2016 Dec 27;26(16):1153-1156. Epub 2016 Oct 27.

Service diététique, centre hospitalier métropole Savoie, place Lucien-Biset, BP 31125, 73011 Chambéry cedex, France. Electronic address:

Chyluria implies an abnormal communication between the lymphatic system and the urinary tract. It is more frequent in endemic areas of lymphatic filariasis, which constitutes the main cause. Chyluria may mimic a nephrotic syndrome. Read More

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http://dx.doi.org/10.1016/j.purol.2016.09.073DOI Listing
December 2016
19 Reads

Cloudy urine in the postpartum period.

Kidney Int 2017 03;91(3):760

Department of Nephrology, Division of Medicine, University Health Network, Toronto, Canada.

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http://dx.doi.org/10.1016/j.kint.2016.09.034DOI Listing
March 2017
6 Reads

Phrenic nerve stimulation during neck dissection for advanced thyroid cancer involving level IV: is it worth doing it?

Updates Surg 2017 Mar 13;69(1):83-87. Epub 2017 Feb 13.

Department of Otolaryngology, Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

During thyroidectomy and neck dissection surgery for advanced or recurrent metastatic thyroid cancer under intraoperative monitoring, we used the available technology to assess the feasibility of such an intervention to monitor those patients with phrenic nerves at risk. A retrospective review of patients operated on from January 2009 to December 2015 by a single surgeon (CSD) was conducted. Patients who had neck and mediastinal dissection, with or without total thyroidectomy, due to advanced or recurrent metastatic disease to the neck were selected. Read More

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http://dx.doi.org/10.1007/s13304-016-0411-yDOI Listing
March 2017
31 Reads

Complications of Bilateral Neck Dissection in Thyroid Cancer From a Single High-Volume Center.

JAMA Otolaryngol Head Neck Surg 2017 04;143(4):376-381

Department of Otolaryngology-Head & Neck Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

Importance: The morbidity of bilateral lateral neck dissection (BLND) for thyroid cancers has not been described in detail. This study delineates the specific complications arising from BLND for thyroid cancers at a single high-volume center.

Objective: To determine the morbidity associated with BLNDs for differentiated thyroid cancers at our institution. Read More

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http://dx.doi.org/10.1001/jamaoto.2016.3670DOI Listing
April 2017
8 Reads

Multi-modal imaging features and lympho-venous shunt for vaginal chylous fistula in lymphangioleiomyomatosis: Case report and review.

Lymphology 2017 ;50(3):136-140

Department of LymphaticSurgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.

Vaginal chylous fistula is a very rare lymphatic disorder and lymphangioleiomyomatosis (LAM) is also a rare multisystemic disease. LAM with the development of a vaginal chylous fistula has rarely been reported. Here we report a case of vaginal chylous fistula accompanied with LAM. Read More

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January 2017
11 Reads

Incidence, risk factors and clinical implications of chyle leak after pancreatic surgery.

Br J Surg 2017 Jan 20;104(1):108-117. Epub 2016 Oct 20.

Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Background: Chyle leak is a well known but poorly characterized complication after pancreatic surgery. Available data on incidence, risk factors and clinical significance of chyle leak are highly heterogeneous.

Methods: For this cohort study all patients who underwent pancreatic surgery between January 2008 and December 2012 were identified from a prospective database. Read More

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http://dx.doi.org/10.1002/bjs.10316DOI Listing
January 2017
15 Reads

Chylous Ascites Following Open Abdominal Aortic Aneurysm Repair: An Unusual Complication.

Methodist Debakey Cardiovasc J 2016 Apr-Jun;12(2):119-21

Sismanogleio-Amalia Fleming General Hospital of Athens, Athens, Greece.

Chylous ascites is a rare complication after abdominal aortic aneurysm repair. Accumulation of chyle within the close space of the peritoneal cavity may cause severe discomfort to the patient, complicating the postoperative course. Prompt diagnosis is needed to adopt measures for reducing lymph leakage and contributing to lymphatic fistula closure. Read More

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http://dx.doi.org/10.14797/mdcj-12-2-119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969020PMC
May 2017
12 Reads

It is unnecessary to completely mobilize the kidney in retroperitoneoscopic renal pedicle lymphatic disconnection for intractable chyluria.

Int Urol Nephrol 2016 Oct 30;48(10):1565-9. Epub 2016 Jun 30.

Department of Urology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Purpose: To compare the efficacy and safety of two approaches in retroperitoneoscopic renal pedicle lymphatic disconnection (RRPLD) for intractable chyluria: completely or partly mobilize the kidney.

Materials And Methods: Retrospectively reviewed the clinical data of 77 patients, who underwent RRPLD because of intractable chyluria in our institution. We mobilized the whole affected kidney in 22 patients during the operation, but only dissected the lower part in other 55 patients. Read More

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http://dx.doi.org/10.1007/s11255-016-1351-7DOI Listing
October 2016
19 Reads

Blunt force trauma as a rare mechanism for chyluria.

Can J Urol 2016 Jun;23(3):8318-20

Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Chyluria is an uncommon clinical entity outside of the tropics. We present a rare case of blunt force trauma leading to the formation of a lymphorenal fistula. This was successfully managed via conservative endoscopic and dietary treatment. Read More

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June 2016
16 Reads

Curbing chyle leaks.

Authors:
Ming-Sing Si

J Thorac Cardiovasc Surg 2016 09 29;152(3):e57-8. Epub 2016 May 29.

Department of Cardiac Surgery, Section of Pediatric Cardiovascular Surgery, University of Michigan, Ann Arbor, Mich. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2016.05.031DOI Listing
September 2016
36 Reads

Multicenter, Prospective Trial of Selective Drain Management for Pancreatoduodenectomy Using Risk Stratification.

Ann Surg 2017 06;265(6):1209-1218

*Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA †University of Verona, Verona, Italy.

Objective: This multicenter study sought to prospectively evaluate a drain management protocol for pancreatoduodenectomy (PD).

Background: Recent evidence suggests value for both selective drain placement and early drain removal for PD. Both strategies have been associated with reduced rates of clinically relevant pancreatic fistula (CR-POPF)-the most common and morbid complication after PD. Read More

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http://dx.doi.org/10.1097/SLA.0000000000001832DOI Listing
June 2017
41 Reads
5 Citations
8.330 Impact Factor

Chyle Leak Following Neck Dissection: Could Radiotherapy Be Considered a Management Option?

J Craniofac Surg 2016 Mar;27(2):e115-8

*Department of Radiotherapy, Policlinico Umberto I†Department of Gynecological and Obstetrical Sciences and Urological Sciences‡Department Organs of Sense, Policlinico Umberto I, "Sapienza" University of Rome§Spencer-Lorillard Foundation Rome, Italy.

Chyle leak after neck dissection is a relatively rare complication in head and neck cancer scenario.This review summarizes the basic knowledge of chyle leak underlying the potential benefit induced by low-dose radiation therapy and may serve as basis for future studies, necessary to optimize chyle leak management in head and neck cancer patients. Read More

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http://dx.doi.org/10.1097/SCS.0000000000002329DOI Listing
March 2016
7 Reads

Chylous Fistula following Axillary Lymphadenectomy: Benefit of Octreotide Treatment.

Case Rep Surg 2016 26;2016:6098019. Epub 2016 Jan 26.

General Surgery Department, Morales Meseguer University Hospital, Mare Nostrum International Excellence Campus, Murcia University, 30008 Murcia, Spain.

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. Read More

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http://www.hindawi.com/journals/cris/2016/6098019/
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http://dx.doi.org/10.1155/2016/6098019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746377PMC
February 2016
10 Reads

Spilt Milk: An Unusual Cause of Bilateral Chylothorax.

J Investig Med High Impact Case Rep 2015 Apr-Jun;3(2):2324709615583877. Epub 2015 Apr 22.

University of New Mexico School of Medicine, Albuquerque, NM, USA.

We report a case of bilateral chylothorax without evidence of chylous fistula in a 62-year-old man following total laryngectomy and bilateral selective neck dissection for laryngeal cancer. Chylous fistulae, a well-known complication of neck dissection, occurs following 1% to 2% of these surgeries. On rare occasions, the chyle leak may communicate with the pleural space, resulting in chylothorax. Read More

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http://dx.doi.org/10.1177/2324709615583877DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4528870PMC
October 2015
10 Reads

Risk factors and consequences of perioperative reoperation in patients undergoing pulmonary resection surgery.

Surgery 2016 Feb 11;159(2):591-601. Epub 2015 Sep 11.

Department of Thoracic Surgery, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao-tong University, Shanghai, China. Electronic address:

Background: Perioperative reoperation is generally agreed to be necessary for the management of particular, severe complications. Understanding the incidence and predictors of perioperative reoperation enables surgeons to improve surgery quality. The objective of this study is to investigate the incidence, risk factors, and consequences of perioperative reoperation after pulmonary resection. Read More

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http://dx.doi.org/10.1016/j.surg.2015.07.030DOI Listing
February 2016
15 Reads

Chyle Fistula After Neck Dissection: An 8-Year, Single-Center, Prospective Study of Incidence, Clinical Features, and Treatment.

Ann Surg Oncol 2015 Dec 19;22 Suppl 3:S1000-6. Epub 2015 Aug 19.

Department of Pathology, School of Medicine, Kyungpook National University, Daegu, Korea.

Background: Chyle fistula is a relatively rare complication of neck dissection, and there is a lack of consensus regarding its incidence, risk factors, and management.

Methods: Between 2007 and 2014, a total of 472 cases of neck dissection involving the level IV compartment were included in the study. The incidence, risk factors, and clinical course of chyle fistula were investigated, as well as the outcomes of conventional management and the use of octreotide injection in high-output chyle fistula. Read More

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http://dx.doi.org/10.1245/s10434-015-4822-7DOI Listing
December 2015
12 Reads

Chyluria: a scourge of our region.

BMJ Case Rep 2015 Jul 6;2015. Epub 2015 Jul 6.

Department of Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India.

Chyluria is endemic in the Gangetic belt of India with an average of 90 cases treated annually at our institute. It is almost exclusively caused by Wuchereria bancrofti in tropical areas. Chylomicrons and triglycerides are lost in the urine from an abnormal lymphourinary fistula due to obstructive lymphatic stasis, most commonly at the renal pelvis. Read More

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http://dx.doi.org/10.1136/bcr-2014-209188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493223PMC
July 2015
26 Reads

Use of Octreotide for the Management of Chyle Fistula Following Neck Dissection.

JAMA Otolaryngol Head Neck Surg 2015 Aug;141(8):723-7

Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles.

Importance: Chyle fistula is an uncommon complication of neck surgery. A variety of management strategies have been described, including diet restriction, parenteral nutrition, use of pressure dressings, and revision surgery. Octreotide has been used with success in patients with neck and thoracic chyle fistulas, but data regarding efficacy in neck chyle fistulas are lacking. Read More

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http://dx.doi.org/10.1001/jamaoto.2015.1176DOI Listing
August 2015
38 Reads