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KMID : 0914820020020010020
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Journal of the Korean Gastric Cancer Association
2002 Volume.2 No. 1 p.20 ~ p.25
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Clinical Analysis of Chylous Ascites after Surgery for Gastric Cancer
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Hong Jeong-Hun
Min Byung-Wook
Lee Kyung-Bum
Mok Young-Jae
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Abstract
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Purpose: Chylous ascites is an accumulation of lymphatic fluid within the peritoneal cavity due to trauma or to an obstruction on the lymphatic system. Postoperative chylous ascites is a rare complication of abdominal surgery. It is frequently reported after retroperitoneal dissections and results in high morbidity and mortality. However, there have been few report of such a complication following a radical gastrectomy. Therefore, we review the clinical analysis and treatment of chylous ascites based on our experience.
Materials and Methods: From July 1992 to June 2001, we treated 13 cases of chylous ascites after operations for gastric cancer. We reviewed medical charts of those patients retrospectively.
Results: The incidence of chylous ascites after operations for gastric cancer was 0.83% (13/1552). The mean time from ingestion of a meal after the operation to the development of symptoms was 2 days (range: 1∼6 days). Conservative treatment by fasting, total parenteral nutrition (TPN), and repeated paracentesis was successful in all patients. The mean time from diagnosis to complete resolution was 25 days (range: 2∼105 days).
Conclusion: Chylous ascites should be considered in any patient with a typical milky color of drainage who has recently undergone radical gastrectomy. Treatment with fasting, TPN, and repeated paracentesis usually is successful.
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KEYWORD
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Gastric cancer, Chylous ascites, Conservative treatment
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