The diagnosis and therapy of chylous ascites / 中华外科杂志
Chinese Journal of Surgery
;
(12): 25-28, 2005.
Article
in Chinese
| WPRIM
| ID: wpr-345037
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the diagnosis and therapy of chylous ascites.</p><p><b>METHODS</b>To diagnose 40 patients of chylous ascite with regular test and quantitative analysis of chyle, direct lymphangiography, CT (immediately after direct lymphangiography), lymphangioscintigraphy, MRI. Twenty-two patients received conservative therapy, 18 patients received retroperitoneal lymphangiectomy and (or) lymph-vein shunting.</p><p><b>RESULTS</b>Lymphatic dysplasia and chylous reflux were found in almost every patient, total parenteral nutrition showed good results. Followed up from 1 month to 5 years, in conservative therapy group, 9 patients were controlled well clinically, the condition of 6 patients was improved better. Seven patients showed no effect. In operation group, 11 patients were controlled well clinically. Four patients got mitigated. Total 7 patients died, although 4 of them ameliorated temporarily.</p><p><b>CONCLUSIONS</b>Direct lymphangiography, CT (immediately after direct lymphangiography) are the most important diagnosis methods. The influence of the therapy to the malformed lymphatic system of patients should be well considered. Lymph-vein shunting, such as thoracic duct-left external jugular vein anastomosis, gastroenteral or retroperitoneal lymphatics-testicular or ovarian vein anastomosis, could improve the circulation of lymph and chyle of patients. Lymphatic microsurgery will play more and more important roles in the treatment of chylous diseases.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Therapeutics
/
Magnetic Resonance Imaging
/
Lymphography
/
Tomography, X-Ray Computed
/
Follow-Up Studies
/
Chylous Ascites
/
Parenteral Nutrition, Total
/
Lymphatic Vessels
/
Diagnosis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Female
/
Humans
/
Infant
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2005
Type:
Article
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