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Query: UMLS:C0020505 (hyperphagia)
 6,116 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Chylous ascites may follow operative injury to retroperitoneal lymphatics. When possible, early reoperation has been advised. This report describes a patient with chylous ascites following emergency abdominal aortic aneurysmectomy. Because the patient was not a candidate for reoperation, total parenteral hyperalimentation was employed in management. This approach resulted in a successful outcome.
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PMID:Chylous ascites following abdominal aortic aneurysmectomy. Management with total parenteral hyperalimentation. 11 6

Chylous ascites is a rare complication in abdominal aortic surgery, there have been thirteen previously reported cases of chylous ascites after aortic surgery, both for aneurysmectomy or revascularization. This complication always represents a difficult problem in patient management because of the serious failures of the nutritional balance, the potentially dangerous immunological deficit and the frequent respiratory function impairment overcoming with various mechanisms. Analysis of ascitic liquid, which shows the aspect and chemical composition of chyle, is required to make the diagnosis. Several therapeutic pathways are possible for the treatment of this complication (paracentesis, reinfusion of chyle, diuretics, total parenteral hyperalimentation, medium-chain triglyceride diet, peritoneovenous shunt, operative closure) and the choice results in an association which is specific for each patient. This article describes a further case of postoperative chylous ascites after aortic surgery and envisages the main lines of the treatment of this iatrogenic pathology.
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PMID:[Chylous ascites: a rare and awesome complication of aortic surgery]. 253 98

The development of chylous ascites after an abdominal surgical procedure is potentially grave. It frequently leads to malnutrition and significant mortality. Chylous ascites developed after emergency repair of a ruptured abdominal aneurysm. In spite of treatments with low-fat diet (medium-chain triglycerides), hyperalimentation, and abdominal paracentesis, hypoproteinemia and peripheral edema developed and symptomatic ascites continued. Though some success has been reported following ligation of leaking lymphatics, we avoided laparotomy because the patient was recovering from formidable complications. A peritoneovenous shunt was placed. No complications occurred and permanent recovery promptly resulted. We believe this is a reasonable alternative to laparotomy.
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PMID:Chylous ascites following resection of a ruptured abdominal aneurysm. Treatment with a peritoneovenous shunt. 394 24