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Somatostatin treatment of a persistent chyloperitoneum following abdominal aortic surgery

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Published in Journal of Vascular Surgery. 2012, vol. 56, no. 5, p. 1409-12
Abstract Chyloperitoneum is an uncommon but serious complication of abdominal aortic surgery. There are no optimal guidelines for the management of chyloperitoneum. We present here our experiences regarding the treatment of chyloperitoneum with somatostatin for three patients who underwent surgery for abdominal aortic disease. Milky, odorless liquid was observed in the abdominal drain of these patients. The conservative treatment with total parenteral nutrition failed; therefore, in parallel, we initiated a somatostatin treatment as a continuous perfusion. Drain loss decreased in all up to the second day of treatment. The probable mechanisms of the somatostatin decrease the intestinal absorption of fats via the specific receptors, decrease triglyceride concentration in the thoracic duct, and attenuate lymph flow in the major lymphatic channels. The presented cases showed successful treatment using somatostatin and may be a new generation of effective treatments for chyloperitoneum.
Keywords Aged, 80 and overAorta, Abdominal/surgeryAortic Aneurysm, Abdominal/surgeryAortic Coarctation/surgeryChylous Ascites/drug therapyFemaleHormones/therapeutic useHumansPostoperative Complications/drug therapySomatostatin/therapeutic use
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PMID: 22999046
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Article (Published version) (778 Kb) - document accessible for UNIGE members only Limited access to UNIGE
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Research group Chirurgie cardio-vasculaire (105)
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KARACA, Saziye, GEMAYEL, Gino, KALANGOS, Afksendiyos. Somatostatin treatment of a persistent chyloperitoneum following abdominal aortic surgery. In: Journal of Vascular Surgery, 2012, vol. 56, n° 5, p. 1409-12. https://archive-ouverte.unige.ch/unige:27940

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Deposited on : 2013-05-21

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