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Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report
An 84-year-old woman underwent subtotal stomach pancreatoduodenectomy (PD) for distal cholangiocarcinoma. Over 1000 ml of serous ascites, which appeared milky after starting a high-protein, low-fat, middle-chain triglyceride diet, was discharged from the inserted drain. On postoperative day (POD) 13...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048074/ https://www.ncbi.nlm.nih.gov/pubmed/32128220 http://dx.doi.org/10.1093/omcr/omaa009 |
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author | Takahashi, Yusuke Seki, Hitoshi |
author_facet | Takahashi, Yusuke Seki, Hitoshi |
author_sort | Takahashi, Yusuke |
collection | PubMed |
description | An 84-year-old woman underwent subtotal stomach pancreatoduodenectomy (PD) for distal cholangiocarcinoma. Over 1000 ml of serous ascites, which appeared milky after starting a high-protein, low-fat, middle-chain triglyceride diet, was discharged from the inserted drain. On postoperative day (POD) 13, she underwent right hemicolectomy for transverse colonic volvulus, which occurred on POD 9 and was refractory to conservative therapies. Following second surgery, the chylous ascites (CA) amount continued to increase. Octreotide, albumin and diuretics were administered, but the amount of ascites did not decrease. Etilefrine was administered on POD 19; the ascites amount gradually decreased. The drain was removed 3 days after etilefrine administration. She had no symptoms of abdominal distention after drain removal. Etilefrine’s effectiveness for chylothorax after esophagectomy and CA after distal pancreatectomy has been reported. We present a case of CA successfully treated by etilefrine following PD. Our case highlights etilefrine’s usefulness for CA following PD. |
format | Online Article Text |
id | pubmed-7048074 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-70480742020-03-03 Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report Takahashi, Yusuke Seki, Hitoshi Oxf Med Case Reports Case Report An 84-year-old woman underwent subtotal stomach pancreatoduodenectomy (PD) for distal cholangiocarcinoma. Over 1000 ml of serous ascites, which appeared milky after starting a high-protein, low-fat, middle-chain triglyceride diet, was discharged from the inserted drain. On postoperative day (POD) 13, she underwent right hemicolectomy for transverse colonic volvulus, which occurred on POD 9 and was refractory to conservative therapies. Following second surgery, the chylous ascites (CA) amount continued to increase. Octreotide, albumin and diuretics were administered, but the amount of ascites did not decrease. Etilefrine was administered on POD 19; the ascites amount gradually decreased. The drain was removed 3 days after etilefrine administration. She had no symptoms of abdominal distention after drain removal. Etilefrine’s effectiveness for chylothorax after esophagectomy and CA after distal pancreatectomy has been reported. We present a case of CA successfully treated by etilefrine following PD. Our case highlights etilefrine’s usefulness for CA following PD. Oxford University Press 2020-02-28 /pmc/articles/PMC7048074/ /pubmed/32128220 http://dx.doi.org/10.1093/omcr/omaa009 Text en © The Author(s) 2020. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Takahashi, Yusuke Seki, Hitoshi Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report |
title | Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report |
title_full | Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report |
title_fullStr | Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report |
title_full_unstemmed | Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report |
title_short | Successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report |
title_sort | successful management of chylous ascites after pancreatoduodenectomy using etilefrine: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048074/ https://www.ncbi.nlm.nih.gov/pubmed/32128220 http://dx.doi.org/10.1093/omcr/omaa009 |
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