Successful management of chylous ascites after living donor liver transplantation with somatostatin.
Chylous ascites is a rare complication following liver transplantation. A variety of treatment options have been proposed for the management of chylous ascites; however, their effectiveness following a liver transplant is unknown. A 40-year-old woman who underwent living donor liver transplantation for primary biliary cirrhosis developed chylous ascites 21 days after the transplant. A conventional treatment consisting of a low-fat diet with total parenteral nutrition failed to treat the complication for 104 days. However, the use of somatostatin in combination with total parenteral nutrition resulted in a rapid falloff in chyle output without any adverse effects. Somatostatin and total parenteral nutrition are an effective option for the treatment of chylous ascites after living donor liver transplantation.
Ijichi
Hideki
H
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Soejima
Yuji
Y
Taketomi
Akinobu
A
Yoshizumi
Tomoharu
T
Uchiyama
Hideaki
H
Harada
Noboru
N
Yonemura
Yusuke
Y
Maehara
Yoshihiko
Y
D000328:Adult; D002915:Chylous Ascites / Q000188:drug therapy* / Q000473:pathology; D005260:Female; D006801:Humans; D016031:Liver Transplantation; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications; D013004:Somatostatin / Q000627:therapeutic use*
D013004:Somatostatin