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  • Title: Successful conservative treatment of chylothorax following oesophagectomy - a clinical algorithm.
    Author: Benedix F, Schulz HU, Scheidbach H, Lippert H, Meyer F.
    Journal: S Afr J Surg; 2010 Jul 13; 48(3):86-8. PubMed ID: 21924000.
    Abstract:
    OBJECTIVES: Chylothorax is an infrequent but serious complication after thoracic surgery. Optimal management is still controversial. Surgical re-interventions are associated with significant morbidity and mortality. DESIGN: During a 2-year period, 3 patients developed chylothorax after oesophagectomy. This was treated conservatively, following our departmental protocol. RESULTS: Conservative management (total parenteral nutrition, bowel rest, pleural drainage and octreotide, followed by a low-fat diet) was successful in all 3 cases within a reasonable period of time (14 - 18 days). CONCLUSION; We recommend conservative measures as the first-line treatment for postoperative chylothorax.
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