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Chylorrhea following laparoscopy assisted distal gastrectomy with D1+ dissection for early gastric cancer: A case report.

Yamada T, Jin Y, Hasuo K, Maezawa Y, Kumazu Y, Rino Y, Masuda M - Int J Surg Case Rep (2013)

Bottom Line: On postoperative day 6, oral intake of a low-fat diet was initiated after a 2-day fast, and the daily drain output decreased from postoperative day 9.The fasting of our case followed by a low-fat diet without TPN would be an effective therapy.As a result, our case recovered favorably without further therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Hadano Red Cross Hospital, 1-1 Tatenodai, Hadano, Kanagawa 257-0017, Japan; Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa, Yokohama, Kanagawa 236-0004, Japan. Electronic address: takay0218@yahoo.co.jp.

No MeSH data available.


Related in: MedlinePlus

Clinical course. Wtr, water; SD, soft diet; BT, body temperature.
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fig0010: Clinical course. Wtr, water; SD, soft diet; BT, body temperature.

Mentions: On postoperative day 4, the patient was allowed oral intake of food (Fig. 2), but 3 h after she ate food, the drain output increased with the fluid, which had a high triglyceride level (740 mg/dL), changing from clear to milky. Computed tomography revealed collected fluid in the pelvic space and a small amount in the upper abdominal space (Fig. 3), and thus, we immediately discontinued her oral intake; the drain discharge became clear again. On postoperative day 6, oral intake with a low-fat diet (1 g/day) was initiated. The daily drain output decreased from postoperative day 9, and we gradually increased the fat content of the diet by 1–35 g/day from postoperative day 12. The drain tube was removed on postoperative day 15, and the patient was discharged on postoperative day 17. Ten months after surgery, she had no signs of chylorrhea and her postoperative general condition was good.


Chylorrhea following laparoscopy assisted distal gastrectomy with D1+ dissection for early gastric cancer: A case report.

Yamada T, Jin Y, Hasuo K, Maezawa Y, Kumazu Y, Rino Y, Masuda M - Int J Surg Case Rep (2013)

Clinical course. Wtr, water; SD, soft diet; BT, body temperature.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860019&req=5

fig0010: Clinical course. Wtr, water; SD, soft diet; BT, body temperature.
Mentions: On postoperative day 4, the patient was allowed oral intake of food (Fig. 2), but 3 h after she ate food, the drain output increased with the fluid, which had a high triglyceride level (740 mg/dL), changing from clear to milky. Computed tomography revealed collected fluid in the pelvic space and a small amount in the upper abdominal space (Fig. 3), and thus, we immediately discontinued her oral intake; the drain discharge became clear again. On postoperative day 6, oral intake with a low-fat diet (1 g/day) was initiated. The daily drain output decreased from postoperative day 9, and we gradually increased the fat content of the diet by 1–35 g/day from postoperative day 12. The drain tube was removed on postoperative day 15, and the patient was discharged on postoperative day 17. Ten months after surgery, she had no signs of chylorrhea and her postoperative general condition was good.

Bottom Line: On postoperative day 6, oral intake of a low-fat diet was initiated after a 2-day fast, and the daily drain output decreased from postoperative day 9.The fasting of our case followed by a low-fat diet without TPN would be an effective therapy.As a result, our case recovered favorably without further therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Hadano Red Cross Hospital, 1-1 Tatenodai, Hadano, Kanagawa 257-0017, Japan; Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa, Yokohama, Kanagawa 236-0004, Japan. Electronic address: takay0218@yahoo.co.jp.

No MeSH data available.


Related in: MedlinePlus