Supradiaphragmatic Ligation of the Thoracic Duct in Intractable Chylous Fistula

Patterson, G. Alexander; Todd, Thomas R.J.; Delarue, Norman C.; lives, R.; Pearson, F.G.; Cooper, J.D.

doi:10.1016/s0003-4975(10)61372-0

Cited by 111 publications

(48 citation statements)

References 24 publications

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“…Bessone et al [4] described a classification system that divides chylothoraces into four subclasses (traumatic, congenital, iatrogenic after operation, and nontraumatic). The most common among these is iatrogenic following cardiothoracic procedures (0.2 %), neck dissections, or puncture of the left subclavian vein [5][6][7][8][9]. Nontraumatic causes include extrinsic compression or intrinsic obstruction of the thoracic duct by malignant lymphoma, metastatic cancer, and cirrhosis of the liver and other neoplastic disorders.…”

Section: Discussionmentioning

confidence: 99%

Nonoperative Management of Traumatic Chylothorax

et al. 2013

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Chylothorax is known for its rarity, and its diagnosis following blunt chest trauma is exceptional. Only a small number of cases have been reported in the literature. Severe consequences, such as cardiopulmonary abnormalities and metabolic, nutritional, and immunologic disorders, can result from chylothorax. Management of chylothorax is challenging. It can either be managed nonoperatively or surgically. Surgical treatment is required in cases of persistent or high output fistulae. We report here in three cases of blunt trauma chest following road traffic crash associated with chylothorax. All of them were successfully managed nonoperatively with inter costal tube drainage and supportive treatment sans need of any operative intervention.

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Section: Discussionmentioning

confidence: 99%

Nonoperative Management of Traumatic Chylothorax

et al. 2013

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“…If drainage is higher or chylothorax occurs after an esophageal operation early reoperation should be strongly considered 4,7,10,12 .…”

Section: Discussionmentioning

confidence: 99%

Results of prophylactic thoracic duct ligation in advanced esophageal carcinoma

Sokouti

Montazeri

2009

Indian J Thorac Cardiovasc Surg

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“…It frequently occurs due to iatrogenic diseases, like cardiothoracic procedures (0.2%) [2][3][4][5][6], neck dissections, or punction of the left subclavian vein.…”

Section: Discussionmentioning

confidence: 99%

Delayed Chylothorax Following Blunt Chest Trauma

et al. 2009

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Chylothorax is a very rare disease, and its diagnosis following blunt chest trauma is exceptional. Only a small number of cases have been reported in the literature. We report a case of a male patient involved in a car accident presenting a delayed chylothorax after blunt chest trauma with a bilateral serial rib fracture and fracture of the ninth thoracic vertebrae. The therapy includes thorax drainage, dietary modifications with total parenteral nutrition and, in severe cases, PEEP ventilation. Hematological monitoring is mandatory to detect metabolic abnormalities resulting from chyle loss. Surgical treatment is only required in cases of persistent or increasing intrathoracal chyle flow. Thoracoscopic ligation of the thoracic duct is then required.Severe consequences, such as cardiopulmonary abnormalities and metabolic, nutritional and immunologic disorders, can result from chylothorax. Our patient was treated successfully by chest drainage and parenteral nutrition.

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Supradiaphragmatic Ligation of the Thoracic Duct in Intractable Chylous Fistula

Cited by 111 publications

References 24 publications

Nonoperative Management of Traumatic Chylothorax

Nonoperative Management of Traumatic Chylothorax

Results of prophylactic thoracic duct ligation in advanced esophageal carcinoma

Delayed Chylothorax Following Blunt Chest Trauma

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