267 results match your criteria Chyle Fistula


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

Ann Otol Rhinol Laryngol 2019 Jan 29:3489419827037. 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
January 2019
1 Read

[Rare case of nonparasitic chyluria].

Urologe A 2019 Jan 8. Epub 2019 Jan 8.

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
January 2019

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

Pract Radiat Oncol 2018 Dec 15. 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
December 2018
2 Reads

Chyle fistula as complication of thyroid surgery in malignant pathology.

Endocrinol Diabetes Nutr 2018 Oct 8. 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
October 2018
10 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
16 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
21 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
10 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
October 2017
7 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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July 2017
17 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
54 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
10 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
5 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
1 Read

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
11 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
2 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

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
4 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
3 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
9 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
9 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
17 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
27 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
5 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/
Publisher Site
http://dx.doi.org/10.1155/2016/6098019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746377PMC
February 2016
6 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
3 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
9 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
4 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
10 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
8 Reads

Right-Crossed, Fused Renal Ectopia L-Shaped Kidney Type with Urinary Chyluria.

Urol Int 2015 5;95(2):243-5. Epub 2015 Jun 5.

Department of Urology, Punan Hospital, Shanghai, China.

Crossed fused renal ectopia combined with chyluria is extremely rare. Here we report the case of a patient who was admitted to our institution since milky urine and was finally found to have an L-shaped fused kidney and renal pelvis fistula. The patient was cured by renal pelvic instillation sclerotherapy. Read More

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http://dx.doi.org/10.1159/000382132DOI Listing
June 2016
8 Reads

Novel Management of Intractable Cervical Chylous Fistula with Local Application of Pseudomonas aeruginosa Injection.

Otolaryngol Head Neck Surg 2015 Oct 22;153(4):561-5. Epub 2015 May 22.

Department of Thyroid & Breast Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China

Objective: Cervical chylous fistula is an uncommon complication after neck dissection, but it might lead to some serious clinical outcomes. Although most cervical chylous fistulas can heal in a few days with standard treatments, some can be intractable. In this study, we describe a new method with local application of Pseudomonas aeruginosa injection for intractable cervical chylous fistula. Read More

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http://dx.doi.org/10.1177/0194599815584917DOI Listing
October 2015
3 Reads

Total Laparoscopic Pancreaticoduodenectomy: A Single-Institutional Experience.

Ann Surg Oncol 2015 Dec 18;22(13):4380-1. Epub 2015 Apr 18.

Pancreas and Biliary Surgery, University of Colorado Anschutz Cancer Pavilion, Aurora, CO, USA.

Introduction: Laparoscopic pancreaticoduodenectomy represents one of the most advanced abdominal surgical procedures; however, a standard approach is still lacking. We present our initial experience with total laparoscopic pancreaticoduodenectomy (TLPD) with a video of the technique that we have developed and the clinical as well as oncologic outcomes obtained with this technique.

Methods: This was a retrospective review of all cases consecutively performed by two operators between January 2013 and December 2014 at The University of Colorado (Fig. Read More

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http://dx.doi.org/10.1245/s10434-015-4450-2DOI Listing
December 2015
7 Reads

Octreotide for conservative management of intractable high output post operative chylous fistula: a case report.

J Maxillofac Oral Surg 2015 Mar 5;14(Suppl 1):21-4. Epub 2011 Aug 5.

Department of Oral & Maxillofacial Surgery, People's College of Dental Sciences, Bhopal, 462037 India.

A case of high output post neck dissection chylous fistula is presented, which was successfully managed conservatively with octreotide; a long acting somatostatin analogue. Routine measures had failed, and secondary complications precluded thoracoscopic ligation. We discuss the spectrum of problems associated with chylous fistula and review the rationale behind the use of octreotide. Read More

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http://dx.doi.org/10.1007/s12663-011-0269-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4379246PMC
March 2015
4 Reads

[Management of chylous fistulas, a rare complication after urologic surgery].

Arch Esp Urol 2015 Mar;68(2):183-6

Hospital Universitario Miguel Servet. Zaragoza, España.

Objective: To analyze the different treatments for postoperative chylous fistulae.

Methods: A literature review of the main treatments for postoperative chylous fistula, providing our initial experience of two cases of patients with postsurgical chylorrea, with conservative treatment.

Results: There is very limited experience in the treatment of chylous ascites. Read More

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March 2015
5 Reads

A prospective study on the role of octreotide in management of chyle fistula neck.

Laryngoscope 2015 Jul 30;125(7):1624-7. Epub 2015 Jan 30.

Department of Otolaryngology (ENT), Sawai Man Singh Medical College and Attached Group of Hospitals, Jaipur, Rajasthan, India.

Objective: To study the effectiveness of octreotide in managing chyle fistula neck and its effect on duration of hospitalization.

Study Design: Prospective study.

Methods: A total of 19 patients with chyle fistula following neck dissection over a period of 10 years were included in the study. Read More

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http://dx.doi.org/10.1002/lary.25171DOI Listing
July 2015
14 Reads

Thoracoscopic Thoracic Duct Ligation for Congenital and Acquired Disease.

J Laparoendosc Adv Surg Tech A 2015 Jul 28;25(7):605-7. Epub 2015 Jan 28.

Rocky Mountain Hospital for Children , Denver, Colorado.

Purpose: Congenital and acquired chylothorax presents a unique management challenge in neonates and infants. A failure of conservative therapy requires surgical ligation to prevent continued fluid and protein losses. This article examines a 15-year experience with thoracoscopic ligation of the thoracic duct. Read More

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http://dx.doi.org/10.1089/lap.2014.0360DOI Listing
July 2015
3 Reads

Is American College of Surgeons NSQIP organ space infection a surrogate for pancreatic fistula?

J Am Coll Surg 2014 Dec 3;219(6):1111-6. Epub 2014 Sep 3.

Department of Surgery, Temple University School of Medicine, Philadelphia, PA. Electronic address:

Background: In the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), pancreatic fistula has not been monitored, although organ space infection (OSI) data are collected. Therefore, the purpose of this analysis was to determine the relationship between ACS NSQIP organ space infection and pancreatic fistulas.

Study Design: From 2007 to 2011, 976 pancreatic resection patients were monitored via ACS NSQIP at our institution. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2014.08.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386682PMC
December 2014
3 Reads

The advantages of unilateral pedal lymphography in the diagnosis of chyluria.

Urol Int 2015 22;94(2):215-9. Epub 2014 Aug 22.

Department of Urology, Punan Hospital, Shanghai, China.

Objectives: To evaluate the efficacy and safety of pedal lymphography (PLG) in the localization diagnosis of chyluria.

Methods: Cystoscopy was performed in 153 patients and PLG in 121 cases. Unilateral or staged bilateral ligation and stripping of renal lymphatic vessel were performed according to the results of cystoscopy and/or PLG. Read More

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http://dx.doi.org/10.1159/000360140DOI Listing
November 2015
48 Reads

Patients undergoing total laryngectomy: an at-risk population for 30-day unplanned readmission.

JAMA Otolaryngol Head Neck Surg 2014 Dec;140(12):1157-65

Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri.

Importance: Patients undergoing total laryngectomy are at high risk for hospital readmission. Hospital readmissions are increasingly scrutinized because they are used as a metric of quality care and are subject to financial penalties.

Objective: To determine the rate of, reasons for, and risk factors that predict 30-day unplanned readmission for patients undergoing total laryngectomy. Read More

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http://archotol.jamanetwork.com/article.aspx?doi=10.1001/jam
Publisher Site
http://dx.doi.org/10.1001/jamaoto.2014.1705DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058717PMC
December 2014
26 Reads

Mesenteric lymphatic ligation in the prevention of chylous fistulae in abdominal neuroblastoma surgery.

Authors:
Chan-Hon Chui

Pediatr Surg Int 2014 Oct 7;30(10):1009-12. Epub 2014 Aug 7.

Surgery Centre for Children, Unit 10-08 Mount Elizabeth Medical Centre, 3 Mount Elizabeth, Singapore, 228510, Singapore,

Purpose: We evaluated the effectiveness of prophylactic mesenteric lymphatic ligation in preventing iatrogenic chylous fistulae in abdominal neuroblastoma surgery.

Method: All patients who underwent resection of abdominal neuroblastoma between years 2002 and 2013 were included. A change in surgical strategy commenced from August 2010 when routine meticulous mesenteric lymphatic ligation (MLL) before abdominal closure was included in the primary surgery, thereby forming two study groups (Group A: before routine MLL; Group B: after routine MLL). Read More

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http://search.proquest.com/openview/89d593024c38b90e928450ee
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http://link.springer.com/10.1007/s00383-014-3581-z
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http://dx.doi.org/10.1007/s00383-014-3581-zDOI Listing
October 2014
4 Reads

Early reoperation performed for the management of complications in patients undergoing general thoracic surgical procedures.

J Thorac Dis 2014 Mar;6 Suppl 1:S21-31

1 AHEPA University Hospital, Cardiothoracic Surgery Department, Aristotle University of Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital.

Objective: To detect the rate and predisposing factors for the development of postoperative complications requiring re-operation for their control in the immediate postoperative period.

Methods: During the time period 2009-2012, 719 patients (male: 71.62%, mean age: 54±19 years) who underwent a wide range of general thoracic surgery procedures, were retrospectively collected. Read More

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http://dx.doi.org/10.3978/j.issn.2072-1439.2014.02.22DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966157PMC
March 2014
6 Reads

Chyluria: is retrograde pyelogram mandatory prior to endoscopic sclerotherapy?

BMJ Case Rep 2014 Jan 6;2014. Epub 2014 Jan 6.

Department of Urology, King George Medical University Lucknow, Lucknow, Uttar Pradesh, India.

Chyluria is the passage of milky urine due to a lymphourinary fistula secondary to lymphatic stasis caused by obstruction of the lymphatic flow. This can be caused by parasitic or non-parasitic infections. Though chyluria is a commonly encountered entity in clinical practice particularly in developing countries like India, it is rarely discussed in English literature. Read More

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http://dx.doi.org/10.1136/bcr-2013-200550DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3902324PMC
January 2014
7 Reads

[Chyle leak after cervical surgery: Meta analysis--Management strategy].

Rev Laryngol Otol Rhinol (Bord) 2014 ;135(3):141-4

Objective: Chyle fistula is a known complication in cervical surgery. It can lead to a postoperative lymphorrhea. There is no consensus on its management. Read More

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January 2016
22 Reads

Novel management of intractable chylous fistula with the application of an impression paste.

J Craniofac Surg 2013 ;24(5):e498-9

Chylous fistula is a kind of complication during neck dissection that rarely happens, but might lead to some serious clinical outcome. The standard treatments include local compressive bandaging, negative pressure drainage, ligation of the fistula orifice, alimentary control, and, occasionally, the use of somatostatin. Among them, the simplest is compressive bandaging, but the bandage can easily become loosened and cannot achieve the necessary pressure effect. Read More

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September 2014
11 Reads

Use of TissuePatch™ sealant film in the management of chyle leak in major neck surgery.

Br J Oral Maxillofac Surg 2014 Jan 14;52(1):87-9. Epub 2013 Oct 14.

M/V Africa Mercy, Mercy Ships, West Africa.

Chylous fistula is rare, and operation is often required for high output fistulas after serious operations on the neck. TissuePatch™sealant film (Tissuemed Ltd., Leeds, UK) is a useful adjunct to ensure that potential sources of leakage are sealed effectively. Read More

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http://dx.doi.org/10.1016/j.bjoms.2013.09.007DOI Listing
January 2014
2 Reads

[Re-thoracotomy for intrathoracic complications after esophagectomy for esophageal cancer].

Kyobu Geka 2013 Jul;66(8 Suppl):762-6

Department of General Surgical Science, Gunma University, Maebashi, Japan.

We reviewed the indications for re-thoracotomy after esophagectomy for esophageal cancer. Hemothorax, chylothorax, tracheobronchial injury (fistula), pneumothorax, and pyothorax were the main causes of re-thoracotomy. Indications for emergency thoracotomy were as follows. Read More

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July 2013
3 Reads

Evolution of chylous fistula management after neck dissection.

Curr Opin Otolaryngol Head Neck Surg 2013 Apr;21(2):150-6

Unit of Plastic and Reconstructive Surgery, Department of Surgery, IRCCS University Hospital San Martino - IST National Institute for Cancer Research, Genova, Italy.

Purpose Of Review: The present review is focused on the management of lymphatic, chylous, and thoracic duct lesions following head and neck surgery, with particular attention to these complications after neck dissection. Postoperative scenarios may include chylous fistula, chylothorax, chylomediastinum, chylopericardium, lymphocele, persistent lymphorrhea, and secondary lymphedema.

Recent Findings: There is a paucity of literature on the treatment of lymphatic, chylous, and thoracic duct injuries following head and neck surgery; however, this review suggests that the most appropriate treatment should include both conservative and surgical approaches. Read More

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http://dx.doi.org/10.1097/MOO.0b013e32835e9d97DOI Listing
April 2013
6 Reads

Drainage volume after pancreaticoduodenectomy is a warning sign of chyle leakage that inversely correlates with a diagnosis of pancreatic fistula.

World J Surg 2013 Apr;37(4):854-62

Pancreatobiliary Cancer Clinic, Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eunjoro Gangnam-gu, Seoul, 135-720, South Korea.

Background: Chyle leakage is a rare complication of pancreaticoduodenectomy (PD), and its association with pancreatic fistula has not been established. The aim of this study was to (1) evaluate the incidence, management, and risk factors of chyle leakage after PD; (2) determine if there is a relation between chyle leakage and diagnosis of pancreatic fistula; and (3) predict chyle leakage with drainage volume early.

Methods: A total of 222 patients underwent PD or pylorus-preserving PD. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs00268-013-19
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http://link.springer.com/10.1007/s00268-013-1919-7
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http://dx.doi.org/10.1007/s00268-013-1919-7DOI Listing
April 2013
17 Reads

The surgical anatomy and clinical relevance of the neglected right lymphatic duct: review.

J Laryngol Otol 2013 Feb 8;127(2):128-33. Epub 2013 Jan 8.

Department of Otolaryngology and Head and Neck Surgery, Addenbrooke's Hospital, Cambridge, UK.

Background: The major lymphatic vessels may be damaged during neck dissection or other cervical surgery, resulting in chyloma or chyle fistula. While commonly considered to be predominantly a complication of left-sided surgery, the thoracic duct may be damaged on either side of the neck due to the extreme variability in the anatomy of the central lymphatic system.

Method And Results: This paper reviews the variable anatomy and embryology of the thoracic and right lymphatic ducts, particularly aspects relevant to head and neck surgery. Read More

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http://dx.doi.org/10.1017/S0022215112002939DOI Listing
February 2013
2 Reads