eMedicine Specialties > General Surgery > Abdomen

Chyle Fistula: Multimedia

Author: Deron J Tessier, MD, Staff Surgeon, Kaiser Permanente Medical Center, Fontana, CA
Coauthor(s): Russell A Williams, MBBS, Program Director, Professor, Department of Surgery, University of California Medical Center at Irvine
Contributor Information and Disclosures

Updated: Jan 10, 2008

Multimedia

Chyle fistula. Anatomy of the thoracic duct in re...Media file 1: Chyle fistula. Anatomy of the thoracic duct in relation to the aorta.
Chyle fistula. Anatomy of the thoracic duct in re...

Chyle fistula. Anatomy of the thoracic duct in relation to the aorta.

Chyle fistula. Management of chyloperitoneum.Media file 2: Chyle fistula. Management of chyloperitoneum.
Chyle fistula. Management of chyloperitoneum.

Chyle fistula. Management of chyloperitoneum.

Chyle fistula. Management of chylothorax.Media file 3: Chyle fistula. Management of chylothorax.
Chyle fistula. Management of chylothorax.

Chyle fistula. Management of chylothorax.

More on Chyle Fistula

Overview: Chyle Fistula
Treatment: Chyle Fistula
Follow-up: Chyle Fistula
Multimedia: Chyle Fistula
References

References

  1. Browse NL, Allen DR, Wilson NM. Management of chylothorax. Br J Surg. Dec 1997;84(12):1711-6. [Medline].

  2. Cerfolio RJ, Allen MS, Deschamps C, Trastek VF, Pairolero PC. Postoperative chylothorax. J Thorac Cardiovasc Surg. Nov 1996;112(5):1361-5; discussion 1365-6. [Medline].

  3. de Vries GJ, Ryan BM, de Bievre M, Driessen A, Stockbrugger RW, Koek GH. Cirrhosis related chylous ascites successfully treated with TIPS. Eur J Gastroenterol Hepatol. Apr 2005;17(4):463-6. [Medline].

  4. Gunnlaugsson CB, Iannettoni MD, Yu B, Chepeha DB, Teknos TN. Management of chyle fistula utilizing thoracoscopic ligation of the thoracic duct. ORL J Otorhinolaryngol Relat Spec. 2004;66(3):148-54. [Medline].

  5. Hashim SA, Roholt JB, Babayan VK. Treatment of chyluria and chylothorax with medium chain triglycerides. N Engl J Med. 1964;270:276.

  6. Hayden JD, Sue-Ling HM, Sarela AI, Dexter SP. Minimally invasive management of chylous fistula after esophagectomy. Dis Esophagus. 2007;20(3):251-5. [Medline].

  7. Ikard RW. Iatrogenic chylous ascites. Am Surg. Aug 1972;38(8):436-8. [Medline].

  8. Mincher L, Evans J, Jenner MW, Varney VA. The successful treatment of chylous effusions in malignant disease with octreotide. Clin Oncol (R Coll Radiol). Apr 2005;17(2):118-21. [Medline].

  9. Nix JT, Albert M, Dugas JE. Chylothorax and chylous ascites: a trial of 302 selected cases. Amer J Gastroenterol. 1957;28:40.

  10. Nyquist GG, Hagr A, Sobol SE, Hier MP, Black MJ. Octreotide in the medical management of chyle fistula. Otolaryngol Head Neck Surg. Jun 2003;128(6):910-1. [Medline].

  11. Pabst TS 3rd, McIntyre KE Jr, Schilling JD, Hunter GC, Bernhard VM. Management of chyloperitoneum after abdominal aortic surgery. Am J Surg. Aug 1993;166(2):194-8; discussion 198-9. [Medline].

  12. Podnos YD, Williams RA, Wilson SE. Management of chylothorax and chyloperitoneum after aortic reconstruction. Curr Ther Vascul Surg. 1999;3.

  13. Press OW, Press NO, Kaufman SD. Evaluation and management of chylous ascites. Ann Intern Med. Mar 1982;96(3):358-64. [Medline].

  14. Seelig MH, Klingler PJ, Oldenburg WA. Treatment of a postoperative cervical chylous lymphocele by percutaneous sclerosing with povidone-iodine. J Vasc Surg. Jun 1998;27(6):1148-51. [Medline].

  15. Vasko JS, Tapper RI. The surgical significance of chylous ascites. Arch Surg. Sep 1967;95(3):355-68. [Medline].

  16. Williams RA, Vetto J, Quiñones-Baldrich W, Bongard FS, Wilson SE. Chylous ascites following abdominal aortic surgery. Ann Vasc Surg. May 1991;5(3):247-52. [Medline].

Further Reading

Keywords

chyle fistulas, chylous ascites, chylothorax, chyloperitoneum, lymphatic fluid leakage

Contributor Information and Disclosures

Author

Deron J Tessier, MD, Staff Surgeon, Kaiser Permanente Medical Center, Fontana, CA
Deron J Tessier, MD is a member of the following medical societies: American College of Surgeons and American Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Russell A Williams, MBBS, Program Director, Professor, Department of Surgery, University of California Medical Center at Irvine
Russell A Williams, MBBS is a member of the following medical societies: American College of Surgeons, American Pancreatic Association, Association for Surgical Education, Association of VA Surgeons, Society for Surgery of the Alimentary Tract, Southern California Society of Gastroenterology, and Southwestern Surgical Congress
Disclosure: Nothing to disclose.

Medical Editor

Juan B Ochoa, MD, Assistant Professor, Department of Surgery, University of Pittsburgh
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

David L Morris, MD, PhD, Professor, Department of Surgery, St George Hospital, University of New South Wales, Australia
Disclosure: Nothing to disclose.

CME Editor

Paolo Zamboni, MD, Professor of Surgery, Chief of Day Surgery Unit, Chair of Vascular Diseases Center, University of Ferrara, Italy
Paolo Zamboni, MD is a member of the following medical societies: American Venous Forum and New York Academy of Sciences
Disclosure: Nothing to disclose.

Chief Editor

John Geibel, MD, DSc, MA, Professor, Department of Surgery, Section of Gastrointestinal Medicine and Department of Cellular and Molecular Physiology, Yale University School of Medicine; Director of Surgical Research, Department of Surgery, Yale-New Haven Hospital
John Geibel, MD, DSc, MA is a member of the following medical societies: American Gastroenterological Association, American Physiological Society, American Society of Nephrology, Association for Academic Surgery, International Society of Nephrology, New York Academy of Sciences, and Society for Surgery of the Alimentary Tract
Disclosure: AMGEN Royalty Other; AMGEN Consulting fee Consulting

 
 
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