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Chylous Fistula following Axillary Lymphadenectomy: Benefit of Octreotide Treatment

Chyle leak following axillary lymph node clearance is a rare yet important complication. The treatment of postoperative chyle fistula still remains unclear. Conservative management is the first line of treatment. It includes axillary drains on continuous suction, pressure dressings, bed rest, and nu...

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Detalles Bibliográficos
Autores principales: González-Sánchez-Migallón, Elena, Aguilar-Jiménez, José, García-Marín, José Andrés, Aguayo-Albasini, José Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746377/
https://www.ncbi.nlm.nih.gov/pubmed/26925285
http://dx.doi.org/10.1155/2016/6098019
Descripción
Sumario:Chyle leak following axillary lymph node clearance is a rare yet important complication. The treatment of postoperative chyle fistula still remains unclear. Conservative management is the first line of treatment. It includes axillary drains on continuous suction, pressure dressings, bed rest, and nutritional modifications. The use of somatostatin analogue is well documented as a treatment for chylous fistulas after neck surgery. We present a case of chylous fistula after axillary surgery resolved with the use of octreotide.