The diagnosis and therapy of chylous ascites / 中华外科杂志
Chinese Journal of Surgery
; (12): 25-28, 2005.
Article
en Zh
| WPRIM
| ID: wpr-345037
Biblioteca responsable:
WPRO
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>
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Índice:
WPRIM
Asunto principal:
Cirugía General
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Terapéutica
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Imagen por Resonancia Magnética
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Linfografía
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Tomografía Computarizada por Rayos X
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Estudios de Seguimiento
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Ascitis Quilosa
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Nutrición Parenteral Total
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Vasos Linfáticos
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Diagnóstico
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
Límite:
Adolescent
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Adult
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Aged
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Child
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Female
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Humans
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Infant
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Año:
2005
Tipo del documento:
Article