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KMID : 1038620170350040380
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Radiation Oncology Journal
2017 Volume.35 No. 4 p.380 ~ p.384
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Low-dose radiation therapy for massive chylous leakage after subtotal gastrectomy
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Kim Sang-Won
Kim Jung-Hoon
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Abstract
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Massive chylous leakage is a rare postoperative complication that can prolong hospital stay and cause secondary morbidities. Conservative management strategies are the treatment of choice; however, radiation therapy (RT) can be used as an alternative for cases that are refractory to conservative treatment. Herein, we report a 69-year-old female patient who suffered from massive chylous leakage after subtotal gastrectomy. Due to persistent massive chylous leakage, she was scheduled to undergo low-dose RT. Radiation was delivered with a daily dose of 1 Gy, using an anterior-posterior and posterior-anterior beam arrangement. The clinical target volume encompassed the entire lymph node area of the D2 dissection. RT was completed at the total dose of 8 Gy because the amount of chylous leakage declined rapidly. Percutaneous drainage tube was removed after 3 days of RT. The patient did not complain of any symptoms related to massive chylous leakage 2 years after the completion of RT.
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KEYWORD
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Chylous ascites, Radiotherapy, Gastrectomy
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