Low-dose radiation therapy for massive chylous leakage after subtotal gastrectomy
Radiation Oncology Journal
;
: 380-384, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-52734
ABSTRACT
Massive chylous leakage is a rare postoperative complication that can prolong hospital stay and cause secondary morbidities. Conservative management strategies are the treatment of choice; however, radiation therapy (RT) can be used as an alternative for cases that are refractory to conservative treatment. Herein, we report a 69-year-old female patient who suffered from massive chylous leakage after subtotal gastrectomy. Due to persistent massive chylous leakage, she was scheduled to undergo low-dose RT. Radiation was delivered with a daily dose of 1 Gy, using an anterior-posterior and posterior-anterior beam arrangement. The clinical target volume encompassed the entire lymph node area of the D2 dissection. RT was completed at the total dose of 8 Gy because the amount of chylous leakage declined rapidly. Percutaneous drainage tube was removed after 3 days of RT. The patient did not complain of any symptoms related to massive chylous leakage 2 years after the completion of RT.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Radioterapia
/
Drenagem
/
Ascite Quilosa
/
Gastrectomia
/
Tempo de Internação
/
Linfonodos
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Radiation Oncology Journal
Ano de publicação:
2017
Tipo de documento:
Artigo
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