지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.5
- 수록면
- 336 - 340 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Chylous ascites is an accumulation of lymphatic fluid within the peritoneal cavity caused by obstruction or rupture of the peritoneal or retroperitoneal lymphatic drainage system. Postoperative chylous ascites is a rare complication of abdominal surgery. In the present study, we analyzed patients who developed postoperative chylous ascites after gastrectomy.
Methods: From February 2003 to June 2006, we treated 7 cases of chylous ascites that occurred after gastrectomy for gastric cancer. We reviewed the medical charts of these patients retrospectively.
Results: The incidence of chylous ascites after gastrectomy was 1.7%. Mean triglyceride concentration of the ascitic fluid was 437 ㎎/㎗ (range: 128 ㎎/㎗∼816 ㎎/㎗). Total parenteral nutrition and somatostatin were administered to 6 patients, and 1 patient was treated with oral diuretics and serial paracentesis.
Conclusion: The incidence of chylous ascites is low, but may increase with more aggressive surgery. Surgeons should consider chylous ascites if the character of drainage is milky. Conservative management is usually effective for the treatment of postoperative chylous ascites. If conservative management fails, surgical management should be considered.
Methods: From February 2003 to June 2006, we treated 7 cases of chylous ascites that occurred after gastrectomy for gastric cancer. We reviewed the medical charts of these patients retrospectively.
Results: The incidence of chylous ascites after gastrectomy was 1.7%. Mean triglyceride concentration of the ascitic fluid was 437 ㎎/㎗ (range: 128 ㎎/㎗∼816 ㎎/㎗). Total parenteral nutrition and somatostatin were administered to 6 patients, and 1 patient was treated with oral diuretics and serial paracentesis.
Conclusion: The incidence of chylous ascites is low, but may increase with more aggressive surgery. Surgeons should consider chylous ascites if the character of drainage is milky. Conservative management is usually effective for the treatment of postoperative chylous ascites. If conservative management fails, surgical management should be considered.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (26)
참고문헌 신청
Press OW , 1982 , Evaluation and management of chylous ascites , Ann Intern Med 96 : 258 ~ 264
Aalami OO , 2000 , Chylous ascites: a collective review , Surgery 128 : 761 ~ 778
Yol S , 2005 , A rare complication of D3 dissection for gastric carcinoma: chyloperitoneum , Gastric Cancer 8 : 35 ~ 38
Browse NL , 1992 , Aetiology and treatment of chylous ascites , Br J Surg 79 : 1145 ~ 1150
Vasco JS , 1967 , surgical significance of chylous ascites , Arch Surg 95 : 355 ~ 368
Aalami OO , 2000 , Chylous ascites: a collective review , Surgery 128 : 761 ~ 778
Yol S , 2005 , A rare complication of D3 dissection for gastric carcinoma: chyloperitoneum , Gastric Cancer 8 : 35 ~ 38
Browse NL , 1992 , Aetiology and treatment of chylous ascites , Br J Surg 79 : 1145 ~ 1150
Vasco JS , 1967 , surgical significance of chylous ascites , Arch Surg 95 : 355 ~ 368
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UCI(KEPA) : I410-ECN-0101-2013-514-002693156