Author/Authors :
Çiyiltepe, Hüseyin Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Değer, Kamuran Cumhur Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Gündeş, Ebubekir Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Çetin, Durmuş Ali Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey , Aday, Ulaş Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi - Gastroenteroloji Cerrahisi Kliniği, Turkey
Abstract :
Chyloperitoneum is the accumulation of lymphatic fluid in the peritoneal cavity. Chylous ascites can occur if it is not recognized during surgery. The incidence of chylous ascites after oncological surgery was approximately 7.4% however, the incidence of lymphorrhea after radical gastrectomy for gastric cancer is so low. Extensive lymph node dissection leads to a higher incidence of lymphorrhea. There have been few cases associated with D1 dissection In most patients conservative treatment is recommended that includes paracentesis, total parenteral nutrition (TPN), a medium chain triglyceride (MCT) based diet, and somatostatin. Surgery is the last choice only when conservative treatment fails. In this case we aimed to present a late onset of chylous ascites after subtotal gastrectomy and D1+ dissection that was treated with percutaneous drainage and conservative management.
