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Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report

Year 2015, Volume: 42 Issue: 4, 514 - 517, 08.01.2016

Hüseyin Çiyiltepe Kamuran Değer Ebubekir Gündeş Durmuş Çetin Ulaş Aday

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.

Key words: Gastric cancer, chylous ascites, D1 (+) dissection

Keywords

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References

  • Yol S, Bostanci EB, Ozogul Y, et al. A rare complication of D3 dissection for gastric carcinoma: chyloperitoneum. Gastric Cancer 2005;8:35-38.
  • Sheng-Zhang L, Hong-Fei T, Zhong-Lin N, et al. Treatment and prevention of lymphorrhea after radical gastrectomy of gastric cancer. J Can Res Clin Oncol 2009;135:613-616.
  • Huang Q, Jiang ZW, Jiang J,et al. Chylous ascites: treated with total parenteral nutrition and somatostatin. WJG 2004;10:2588-2591.
  • Griniatsos J, Dimitriou N, Kyriaki D, et al. Chylorrhea complicating D2+a gastrectomy: review of the literature and clarification of terminology apropos one case. CMJ 2010;123:2279-2283.
  • Japanese Gastric Cancer A. Japanese gastric cancer treatment
  • guidelines 2010 (ver. 3). Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association. 2011;14:113-123.
  • Aalami OO, Allen DB, Organ CH. Chylous ascites: a collective
  • review. Surgery 2000;128:761-778.
  • Cardenas A, Chopra S. Chylous ascites. Am J Gastroenterol
  • ;97:1896-1900.
  • Leibovitch I, Mor Y, Golomb J, et al. The diagnosis and
  • management of postoperative chylous ascites. J Urol 2002;167:449-457

Mide kanseri nedeniyle distal gastrektomi ve D1 (+) diseksiyon sonrası geç ortaya çıkan şilöz asit: Olgu sunumu

Year 2015, Volume: 42 Issue: 4, 514 - 517, 08.01.2016

Hüseyin Çiyiltepe Kamuran Değer Ebubekir Gündeş Durmuş Çetin Ulaş Aday

Abstract

Şiloperiton periton boşluğunda lenfatik sıvının birikmesidir. Ameliyat esnasında fark edilmezse şilöz assit oluşabilir. Onkolojik cerrahi sonrası şilöz assit insidansı yaklaşık olarak %7,4 olmasına rağmen radikal gastrektomi sonrasında lenfore gelişme insidansı oldukça düşüktür. Geniş lenf nod disseksiyonu daha yüksek oranda lenforeye neden olmaktadır. D1 diseksiyon sonrası az sayıda vaka mevcuttur. Birçok şilöz assit gelişmiş hastanın tedavisinde parasentez, total parenteral nutrisyon, orta zincirli yağ asiti bazlı diyet, ve somatostatin önerilmektedir. Cerrahi ancak konservatif tedavinin sonuç vermediği hastalarda son seçenektir. Bu olguda mide kanseri için distal subtotal gastrektomi ve D1(+) diseksiyon yapılmış bir hastada geç ortaya çıkmış şilöz assitin perkütan drenaj ve konservatif yöntemle tedavi yönetimini sunmayı amaçladık

Keywords

Mide kanseri şilöz asit D1 (+) diseksiyon

References

  • Yol S, Bostanci EB, Ozogul Y, et al. A rare complication of D3 dissection for gastric carcinoma: chyloperitoneum. Gastric Cancer 2005;8:35-38.
  • Sheng-Zhang L, Hong-Fei T, Zhong-Lin N, et al. Treatment and prevention of lymphorrhea after radical gastrectomy of gastric cancer. J Can Res Clin Oncol 2009;135:613-616.
  • Huang Q, Jiang ZW, Jiang J,et al. Chylous ascites: treated with total parenteral nutrition and somatostatin. WJG 2004;10:2588-2591.
  • Griniatsos J, Dimitriou N, Kyriaki D, et al. Chylorrhea complicating D2+a gastrectomy: review of the literature and clarification of terminology apropos one case. CMJ 2010;123:2279-2283.
  • Japanese Gastric Cancer A. Japanese gastric cancer treatment
  • guidelines 2010 (ver. 3). Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association. 2011;14:113-123.
  • Aalami OO, Allen DB, Organ CH. Chylous ascites: a collective
  • review. Surgery 2000;128:761-778.
  • Cardenas A, Chopra S. Chylous ascites. Am J Gastroenterol
  • ;97:1896-1900.
  • Leibovitch I, Mor Y, Golomb J, et al. The diagnosis and
  • management of postoperative chylous ascites. J Urol 2002;167:449-457
There are 12 citations in total.

Details

Primary Language English
Journal Section Research Articles
Authors

Hüseyin Çiyiltepe This is me

Kamuran Değer This is me

Ebubekir Gündeş This is me

Durmuş Çetin This is me

Ulaş Aday This is me

Publication Date January 8, 2016
Submission Date January 8, 2016
Published in Issue Year 2015 Volume: 42 Issue: 4

Cite

APA Çiyiltepe, H., Değer, K., Gündeş, E., Çetin, D., et al. (2016). Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report. Dicle Tıp Dergisi, 42(4), 514-517. https://doi.org/10.5798/diclemedj.0921.2015.04.0619
AMA Çiyiltepe H, Değer K, Gündeş E, Çetin D, Aday U. Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report. diclemedj. January 2016;42(4):514-517. doi:10.5798/diclemedj.0921.2015.04.0619
Chicago Çiyiltepe, Hüseyin, Kamuran Değer, Ebubekir Gündeş, Durmuş Çetin, and Ulaş Aday. “Late Onset of Chylous Ascites Following Distal Gastrectomy With D1(+) Dissection for Gastric Cancer: A Case Report”. Dicle Tıp Dergisi 42, no. 4 (January 2016): 514-17. https://doi.org/10.5798/diclemedj.0921.2015.04.0619.
EndNote Çiyiltepe H, Değer K, Gündeş E, Çetin D, Aday U (January 1, 2016) Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report. Dicle Tıp Dergisi 42 4 514–517.
IEEE H. Çiyiltepe, K. Değer, E. Gündeş, D. Çetin, and U. Aday, “Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report”, diclemedj, vol. 42, no. 4, pp. 514–517, 2016, doi: 10.5798/diclemedj.0921.2015.04.0619.
ISNAD Çiyiltepe, Hüseyin et al. “Late Onset of Chylous Ascites Following Distal Gastrectomy With D1(+) Dissection for Gastric Cancer: A Case Report”. Dicle Tıp Dergisi 42/4 (January 2016), 514-517. https://doi.org/10.5798/diclemedj.0921.2015.04.0619.
JAMA Çiyiltepe H, Değer K, Gündeş E, Çetin D, Aday U. Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report. diclemedj. 2016;42:514–517.
MLA Çiyiltepe, Hüseyin et al. “Late Onset of Chylous Ascites Following Distal Gastrectomy With D1(+) Dissection for Gastric Cancer: A Case Report”. Dicle Tıp Dergisi, vol. 42, no. 4, 2016, pp. 514-7, doi:10.5798/diclemedj.0921.2015.04.0619.
Vancouver Çiyiltepe H, Değer K, Gündeş E, Çetin D, Aday U. Late onset of chylous ascites following distal gastrectomy with D1(+) dissection for gastric cancer: A case report. diclemedj. 2016;42(4):514-7.