Medical and surgical management of chylothorax and associated outcomes

American Journal of the Medical Sciences

Volumn 339, Issue 4, 2010, Pages 314-318

  Maldonado, Fabien ^a,b   Cartin Ceba, Rodrigo ^a,b   Hawkins, Finn J ^b   Ryu, Jay H ^a  

^a MAYO CLINIC   (United States)

^b MAYO CLINIC COLLEGE OF MEDICINE   (United States)

Author keywords

Chylothorax; Pleural effusion; Pleurodesis; Thoracic duct ligation

Indexed keywords

ADULT; ARTICLE; CHYLOTHORAX; DEATH; DIET THERAPY; FEMALE; HUMAN; LIGATION; LYMPHANGIOGRAPHY; LYMPHOSCINTIGRAPHY; MAJOR CLINICAL STUDY; MALE; OBSERVATION; PLEURA EFFUSION; PLEURECTOMY; PLEURODESIS; RETROSPECTIVE STUDY; SHUNTING; STATISTICAL ANALYSIS; SURGICAL DRAINAGE; THORACIC DUCT; THORACIC DUCT LIGATION; THORACOCENTESIS; TREATMENT OUTCOME; AGED; COMPARATIVE STUDY; DISEASE MANAGEMENT; LYMPHOGRAPHY; METHODOLOGY; MIDDLE AGED;

ADULT; AGED; AGED, 80 AND OVER; CHYLOTHORAX; DISEASE MANAGEMENT; FEMALE; HUMANS; LYMPHOGRAPHY; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; TREATMENT OUTCOME; YOUNG ADULT;

EID: 77950955473     PISSN: 00029629     EISSN: None     Source Type: Journal    
DOI: 10.1097/MAJ.0b013e3181cdcd6c     Document Type: Article

References (27)

1. Nair SK, Petko M, Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg 2007;32:362-369 (Pubitemid 47021440)
2. Platis IE, Nwogu CE. Chylothorax. Thorac Surg Clin 2006;16: 209-214
3. Skandalakis JE, Skandalakis LJ, Skandalakis PN. Anatomy of the lymphatics. Surg Oncol Clin North Am 2007;16:1-16. (Pubitemid 46320295)
4. McGrath EE, Blades Z, Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med In press.
5. Cerfolio RJ. Chylothorax after esophagogastrectomy. Thorac Surg Clin 2006;16:49-52.
6. Agrawal V, Doelken P, Sahn SA. Pleural fluid analysis in chylous pleural effusion. Chest 2008;133:1436-1441 (Pubitemid 351893002)
7. Maldonado F, Hawkins FJ, Daniels CE, et al. Pleural fluid characteristics of chylothorax. Mayo Clin Proc 2009;84:129-133
8. Cerfolio RJ, Allen MS, Deschamps C, et al. Postoperative chylothorax. J Thorac Cardiovasc Surg 1996;112:1361-5; discussion 1365-1366 (Pubitemid 26403435)
9. Panthongviriyakul C, Bines JE. Post-operative chylothorax in children: an evidence-based management algorithm. J Paediatr Child Health 2008;44:716-721
10. Scorza LB, Goldstein BJ, Mahraj RP. Modern management of chylous leak following head and neck surgery: a discussion of percutaneous lymphangiography-guided cannulation and embolization of the thoracic duct. Otolaryngol Clin North Am 2008;41:1231- 40, xi.
11. Smoke A, Delegge MH. Chyle leaks: consensus on management? Nutr Clin Pract 2008;23:529-532
12. Epaud R, Dubern B, Larroquet M, et al. Therapeutic strategies for idiopathic chylothorax. J Pediatr Surg. 2008;43:461-465 (Pubitemid 351391995)
13. Boffa DJ, Sands MJ, Rice TW, et al. A critical evaluation of a percutaneous diagnostic and treatment strategy for chylothorax after thoracic surgery. Eur J Cardiothorac Surg 2008;33:435-439
14. Chan EH, Russell JL, Williams WG, et al. Postoperative chylothorax after cardiothoracic surgery in children. Ann Thorac Surg 2005;80: 1864-1870 (Pubitemid 41464315)
15. Staats BA, Ellefson RD, Budahn LL, et al. The lipoprotein profile of chylous and nonchylous pleural effusions. Mayo Clin Proc 1980;55: 700-704
16. Cope C, Kaiser LR. Management of unremitting chylothorax by percutaneous embolization and blockage of retroperitoneal lymphatic vessels in 42 patients. J Vasc Interv Radiol 2002;13: 1139-1148 (Pubitemid 35332900)
17. Choo JC, Foley PT, Lyon SM. Percutaneous management of highoutput chylothorax: case reviews. Cardiovasc Intervent Radiol 2009; 32:828-832
18. Matsumoto T, Yamagami T, Kato T, et al. The effectiveness of lymphangiography as a treatment method for various chyle leakages. Br J Radiol 2009;82:286-290
19. Bolger C, Walsh TN, Tanner WA, et al. Chylothorax after oesophagectomy. Br J Surg 1991;78:587-588
20. Orringer MB, Bluett M, Deeb GM. Aggressive treatment of chylothorax complicating transhiatal esophagectomy without thoracotomy. Surgery 1988;104:720-726
21. Lagarde SM, Omloo JM, de Jong K, et al. Incidence and management of chyle leakage after esophagectomy. Ann Thorac Surg 2005; 80:449-454 (Pubitemid 41019460)
22. Fahimi H, Casselman FP, Mariani MA, et al. Current management of postoperative chylothorax. Ann Thorac Surg 2001;71:448 -450; discussion 450-451 (Pubitemid 32173808)
23. Marts BC, Naunheim KS, Fiore AC, et al. Conservative versus surgical management of chylothorax. Am J Surg 1992;164:532-534; discussion 534-535
24. Mares DC, Mathur PN. Medical thoracoscopic talc pleurodesis for chylothorax due to lymphoma: a case series. Chest 1998;114: 731-735
25. Weissberg D, Ben-Zeev I. Talc pleurodesis. Experience with 360 patients. J Thorac Cardiovasc Surg 1993;106:689-695 (Pubitemid 23310449)
26. Browse NL, Allen DR, Wilson NM. Management of chylothorax. Br J Surg 1997;84:1711-1716
27. Wurnig PN, Hollaus PH, Ohtsuka T, et al. Thoracoscopic direct clipping of the thoracic duct for chylopericardium and chylothorax. Ann Thorac Surg 2000;70:1662-1665