ArticleWorld journal of surgery2017
Chylous Ascites Management After Pancreatic Surgery.
Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Incidence and risk factors for Chyle leak after pancreatic surgery for cancer: A comprehensive systematic review.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2022Pooled it
- The postoperative drain lymphocyte count as a novel predictor of chyle leakage after pancreatic surgery.Surgery today · 2026Article
- Operative management for refractory chyle leakage after pancreatectomy: A case report and literature review.Annals of hepato-biliary-pancreatic surgery · 2026Article
- [Transpedal x-ray lymphangiography and treatment of peripheral lymphatic leakage].Radiologie (Heidelberg, Germany) · 2025Review
- [Lymphatic vessel imaging-Indications and clinical applications].Radiologie (Heidelberg, Germany) · 2025Review
- Efficiency of intranodal lymphangiography in the treatment of postoperative lymphatic leakage.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Role of Lipiodol® lymphangiography in the diagnosis and management of post-operative chylous ascites.Frontiers in radiology · 2025Article
- Ultrasound-Guided Intranodal Lipiodol Lymphangiography for the Assessment and Treatment of Chylous Leaks: A Retrospective Case Series from a Single Center in Switzerland and a Systematic Review of the Literature.Journal of clinical medicine · 2024Review
- Venous resection increases risk of chyle leak after total pancreatectomy for pancreatic tumors.World journal of surgical oncology · 2024Article
- The impact of lymphangiograpy on chyle leakage treatment duration after pancreatic surgery.Surgery today · 2024Article
- Drain output volume after pancreaticoduodenectomy is a useful warning sign for postoperative complications.BMC surgery · 2021Article
- Radiological management of postoperative lymphorrhea.Langenbeck's archives of surgery · 2021Review
- Application of ultrasound-guided intranodal lymphangiography and embolisation in cancer patients with postoperative lymphatic leakage.World journal of surgical oncology · 2021Article
- Chylous Ascites Management After Pancreatic Surgery.World journal of surgery · 2017Article
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6 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative chylous ascites (CA) following pancreatic surgery is uncommon. If left untreated, it leads to malnutrition, immunodeficiency and increased postoperative morbidity and mortality. The aim of this study was to seek out risk factors associated with CA onset and conservative treatment (CT) failure in order to determine better management of CA following pancreatic resection. MATERIALS AND
methodsAll consecutive patients who underwent pancreatic surgery between 2004 and 2014 were reviewed retrospectively. Main demographic, clinical and pathological data were searched for CA risk factors. Patients with CA successfully treated with CT alone were compared to those requiring additional bipedal lymphangiography (BPLAG) in order to seek out risk factors associated with CT failure.
resultsFifteen patients (2.4 %) developed CA after pancreatic surgery. Para-aortic lymph node sampling and early enteral feeding were found to be independent risk factors for postoperative CA (OR 6.36, p = 0.024 and OR 12.18, p = 0.02, respectively). CT was successful in ten patients, and five patients required additional BPLAG to achieve CA resolution. Statistical analysis revealed no significant risk factors for CT failure, including total lymph node count (p = 0.196), para-aortic lymph node sampling (p = 0.661) or maximum chyle loss per day (p = 0.758).
conclusionsOwing to postoperative CA rarity, there is no consensus in treatment. Early on, CT should be attempted in all patients with CA. BPLAG is a safe and efficient procedure that should be discussed earlier in the step-up therapeutic management.
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