Incidence and management of chyle leaks following pancreatic resection: A high volume single-center institutional experience

Journal of Gastrointestinal Surgery

Volumn 12, Issue 11, 2008, Pages 1915-1923

  Assumpcao, Lia ^a   Cameron, John L ^a   Wolfgang, Christopher L ^a   Edil, Barish ^a   Choti, Michael A ^a   Herman, Joseph M ^a   Geschwind, Jean Francois ^a   Hong, Kelvin ^a   Georgiades, Christos ^a   Schulick, Richard D ^a   Pawlik, Timothy M ^a,b  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS HOSPITAL   (United States)

Author keywords

Chyle; Complications; Leak; Pancreas; Surgery

Indexed keywords

AGED; ARTICLE; CASE CONTROL STUDY; CHI SQUARE DISTRIBUTION; CHYLE; CHYLOUS ASCITES; COMPARATIVE STUDY; CONFIDENCE INTERVAL; FEMALE; FOLLOW UP; HOSPITALIZATION; HUMAN; INCIDENCE; MALE; METHODOLOGY; MIDDLE AGED; NONPARAMETRIC TEST; PANCREAS RESECTION; PANCREAS TUMOR; PANCREATICODUODENECTOMY; PATHOLOGY; POSTOPERATIVE COMPLICATION; REOPERATION; RETROSPECTIVE STUDY; RISK; SURVIVAL; TREATMENT OUTCOME; WOUND DRAINAGE;

AGED; CASE-CONTROL STUDIES; CHI-SQUARE DISTRIBUTION; CHYLE; CHYLOUS ASCITES; CONFIDENCE INTERVALS; DRAINAGE; FEMALE; FOLLOW-UP STUDIES; HUMANS; INCIDENCE; MALE; MIDDLE AGED; ODDS RATIO; PANCREATECTOMY; PANCREATIC NEOPLASMS; PANCREATICODUODENECTOMY; POSTOPERATIVE COMPLICATIONS; REOPERATION; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; STATISTICS, NONPARAMETRIC; SURVIVAL ANALYSIS; TREATMENT OUTCOME;

EID: 54349116712     PISSN: 1091255X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11605-008-0619-3     Document Type: Article

References (44)

1. JL Cameron HA Pitt CJ Yeo KD Lillemoe HS Kaufman J Coleman 1993 One hundred and forty-five consecutive pancreaticoduodenectomies without mortality Ann Surg 217 430 435
2. CJ Yeo JL Cameron TA Sohn KD Lillemoe HA Pitt MA Talamini 1997 Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes Ann Surg 226 248 257
3. DW Crist JV Sitzmann JL Cameron 1987 Improved hospital morbidity, mortality, and survival after the Whipple procedure Ann Surg 206 358 365
4. JM Winter JL Cameron KA Campbell MA Arnold DC Chang J Coleman 2006 1423 pancreaticoduodenectomies for pancreatic cancer: A single-institution experience J Gastrointest Surg 10 1199 1210
5. M Trede G Schwall HD Saeger 1990 Survival after pancreatoduodenectomy. 118 consecutive resections without an operative mortality Ann Surg 211 447 458
6. JHt Balcom DW Rattner AL Warshaw Y Chang C Fernandez-del Castillo 2001 Ten-year experience with 733 pancreatic resections: changing indications, older patients, and decreasing length of hospitalization Arch Surg 136 391 398
7. G Rios A Conrad D Cole D Adams M Leveen P O'Brien 1999 Trends in indications and outcomes in the Whipple procedure over a 40-year period Am Surg 65 889 893
8. MA Madanur N Battula MO Azam N Heaton M Rela 2007 Chylous ascites after pancreatico-duodenectomy cholangiocarcinoma xenografts in nude mice Hepatobiliary Pancreat Dis Int 6 416 419
9. HZ Malik J Crozier L Murray R Carter 2007 Chyle leakage and early enteral feeding following pancreatico-duodenectomy: management options Dig Surg 24 418 422
10. WM Walker 1967 Chylous ascites following pancreatoduodenectomy Arch Surg 95 640 642
11. C Cope 1998 Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study J Vasc Interv Radiol 9 727 734
12. O Kollmar MK Schilling MW Buchler 2000 Treatment of chyloperitoneum after extended lymphatic dissection during duodenopancreatectomy Int J Pancreatol 27 83 87
13. S Li YQ Pei FT Du GY Zhuang CY Li QH Song 2002 Surgical treatment for uncinate process carcinoma of the pancreas Hepatobiliary Pancreat Dis Int 1 592 594
14. MC Gallagher A Shankar CJ Groves RC Russell RK Phillips 2004 Pylorus-preserving pancreaticoduodenectomy for advanced duodenal disease in familial adenomatous polyposis Br J Surg 91 1157 1164
15. OW Press NO Press SD Kaufman 1982 Evaluation and management of chylous ascites Ann Intern Med 96 358 364
16. R Kaas LD Rustman FA Zoetmulder 2001 Chylous ascites after oncological abdominal surgery: incidence and treatment Eur J Surg Oncol 27 187 189
17. S Jayabose S Kogan S Berezin M Slim JA San Filippo L Godine 1989 Combined occurrence of chyloperitoneum and chylothorax after surgery and chemotherapy for Wilms' tumor Cancer 64 1790 1795
18. YN Silk WM Goumas HO Douglass Jr RP Huben 1991 Chylous ascites and lymphocyst management by peritoneovenous shunt Surgery 110 561 565
19. AL Bhat GL Lowery 1997 Chylous injury following anterior spinal surgery: case reports Eur Spine J 6 270 272
20. H Nagai K Shimizu J Shikata H Iida M Matsushita K Ido 1997 Chylous leakage after circumferential thoracolumbar fusion for correction of kyphosis resulting from fracture. Report of three cases Spine 22 2766 2769
21. JG Evans PE Spiess AM Kamat CG Wood M Hernandez CA Pettaway 2006 Chylous ascites after post-chemotherapy retroperitoneal lymph node dissection: review of the M. D. Anderson experience J Urol 176 1463 1467
22. CJ Ablan FN Littooy RJ Freeark 1990 Postoperative chylous ascites: diagnosis and treatment. A series report and literature review Arch Surg 125 270 273
23. J Baniel RS Foster RG Rowland R Bihrle JP Donohue 1993 Management of chylous ascites after retroperitoneal lymph node dissection for testicular cancer J Urol 150 1422 1424
24. Y Edoute P Nagachandran A Assalia H Ben-Ami 2000 Transient chylous ascites following a distal splenorenal shunt Hepatogastroenterology 47 531 532
25. AH Meinke 3rd NC Estes CB Ernst 1979 Chylous ascites following abdominal aortic aneurysmectomy. Management with total parenteral hyperalimentation Ann Surg 190 631 633
26. T Busch S Lotfi H Sirbu H Dalichau 2000 Chyloperitoneum: a rare complication after abdominal aortic aneurysm repair Ann Vasc Surg 14 174 175
27. S Asfar R Lowndes WJ Wall 1994 Chylous ascites after liver transplantation Transplantation 58 368 369
28. MH Pui TC Yueh 1998 Lymphoscintigraphy in chyluria, chyloperitoneum and chylothorax J Nucl Med 39 1292 1296
29. AJ Archimandritis DI Zonios D Karadima PG Vlachoyiannopoulos D Kiriaki GS Hatzis 2003 Gross chylous ascites in cirrhosis with massive portal vein thrombosis: diagnostic value of lymphoscintigraphy. A case report and review of the literature Eur J Gastroenterol Hepatol 15 81 85
30. EL Kaplan P Meier 1958 Nonparametric estimation from incomplete observations J Am Stat Assoc 53 457 481
31. OO Aalami DB Allen CH Organ Jr 2000 Chylous ascites: a collective review Surgery 128 761 778
32. WG Rector Jr 1984 Spontaneous chylous ascites of cirrhosis J Clin Gastroenterol. 6 369 372
33. AP Keaveny MS Karasik HW Farber 1999 Successful treatment of chylous ascites secondary to Mycobacterium avium complex in a patient with the acquired immune deficiency syndrome Am J Gastroenterol 94 1689 1690
34. MS Cappell D Friedman N Mikhail 1993 Chyloperitoneum associated with chronic severe sarcoidosis Am J Gastroenterol 88 99 101
35. JP Goldfarb 1984 Chylous effusions secondary to pancreatitis: case report and review of the literature Am J Gastroenterol 79 133 135
36. I Leibovitch Y Mor J Golomb J Ramon 2002 The diagnosis and management of postoperative chylous ascites J Urol 167 449 457
37. RW Mallen WH Kudryk 1975 Case report: Chylous fistula following right radical neck dissection Can J Otolaryngol 4 177 179
38. JM Omloo SM Lagarde BC Vrouenraets OR Busch JJ van Lanschot 2006 Compartimentalization for chylothorax originating from the abdomen after extended esophagectomy. Report of two cases and review of the literature Dig Surg 23 86 92
39. S Yol EB Bostanci Y Ozogul M Ulas M Akoglu 2005 A rare complication of D3 dissection for gastric carcinoma: chyloperitoneum Gastric Cancer 8 35 38
40. C Williamson JL Provan 1987 Chylous ascites following aortic surgery Br J Surg 74 71 72
41. SK Ohri T Patel LA Desa J Spencer 1990 The management of postoperative chylous ascites. A case report and literature review J Clin Gastroenterol 12 693 697
42. D Voros S Hadziyannis 1995 Successful management of postoperative chylous ascites with a peritoneojugular shunt J Hepatol 22 380
43. A Cardenas S Chopra 2002 Chylous ascites Am J Gastroenterol 97 1896 1900
44. JS Vasko RI Tapper 1967 The surgical significance of chylous ascites Arch Surg 95 355 368