[Octreotide for conservative management of postoperative chylothorax].
Postoperative chylothorax after lung resection is a major problem leading to morbidity and mortality and requiring reoperation in a large number of cases. The most advisable and least aggressive option is conservative management in progressive stages: a diet rich in medium-chain fatty acids and/or total parenteral nutrition, in addition to chest tube drainage. Including octreotide in this regimen seems to be related to a higher success rate without the need for surgery. We report a case in which the effectiveness and safety of octreotide in the resolution of postoperative chylothorax was excellent.
Gómez-Caro Andrés
A
A
Servicio de Cirugía Torácica, Hospital 12 de Octubre, Madrid, Spain. ABELITOV@yahoo.es
Marrón Fernández
C
C
Moradiellos Díez
F J
FJ
Díaz-Hellín Gude
V
V
Pérez Antón
J A
JA
Martín de Nicolás
J L
JL
D000368:Aged; D002916:Chylothorax / Q000188:drug therapy*; D005765:Gastrointestinal Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D015282:Octreotide / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000188:drug therapy*
D005765:Gastrointestinal Agents; D015282:Octreotide