ABSTRACT
Chyle fistula is an infrequent complication after neck surgery. The first line treatment is medical management, with adequate drainage and appropriate nutritional modifications. The use of octreotide in the treatment of chyle fistula is a novel approach that has been documented in only a few cases. We report a new case of thoracic duct injury effectively treated by octreotide, leading to an early decrease in drainage and early fistula closure with minimal adverse effects. This therapy may reduce length of hospital stay and morbidity. Further studies are required to confirm this observation.
Subject(s)
Chyle , Fistula/drug therapy , Gastrointestinal Agents/therapeutic use , Intraoperative Complications/drug therapy , Octreotide/therapeutic use , Postoperative Complications/drug therapy , Thoracic Duct/injuries , Aged , Female , HumansABSTRACT
La fístula del conducto torácico en una complicación poco frecuente tras la cirugía cervical. El primer escalón terapéutico es el tratamiento médico, con un adecuado drenaje y mediante medidas dietéticas. El uso de la octreótida en el tratamiento de la fístula quilosa es novedoso, y los casos comunicados son anecdóticos. Aportamos un nuevo caso en que el tratamiento con octreótida fue efectivo en el tratamiento de la lesión del conducto torácico y el cierre temprano de la fístula, con mínimos efectos secundarios. Este tratamiento permite reducir la estancia hospitalaria y la morbilidad del paciente. Creemos necesarios estudios posteriores que confirmen estos hallazgos (AU)
Chyle fistula is an infrequent complication after neck surgery. The first line treatment is medical management, with adequate drainage and appropriate nutritional modifications. The use of octreotide in the treatment of chyle fistula is a novel approach that has been documented in only a few cases. We report a new case of thoracic duct injury effectively treated by octreotide, leading to an early decrease in drainage and early fistula closure with minimal adverse effects. This therapy may reduce length of hospital stay and morbidity. Further studies are required to confirm this observation (AU)
