[Somatostatin for the treatment of a post-oesophagectomy chylothorax].
Chylothorax is a rare but serious complication after oesophagectomy procedure. We report the case of a 59-year-old man who underwent an oesophagectomy by Akiyama procedure. A persistent postoperative chylothorax occurred requiring drainage and conservative management. After one week, the failure of this management motivated the institution of continuous infusion of somatostatin. This led to a rapid cessation of chyle production without side effect and to the discharge of the patient from the intensive care unit.
Département d'anesthésie-réanimation, hôpital Sainte-Marguerite, 270, boulevard Sainte-Marguerite, 13009 Marseille, France. pierre.michelet@mail.ap-hm.fr
P
P
Michelet
N
N
Embriaco
A
A
Roch
R
R
Giudicelli
J-P
JP
Auffray
D002916:Chylothorax / Q000188:drug therapy* / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D016629:Esophagectomy / Q000009:adverse effects*; D006727:Hormone Antagonists / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy* / Q000628:therapy; D013004:Somatostatin / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*
D006727:Hormone Antagonists; D013004:Somatostatin