Blood patch treatment of chylothorax following transthoracic oesophagogastrectomy: a novel technique to aid surgical management.
Chylothorax is a well-recognised complication of oesophagectomy, occurring in around 3% of cases. If managed conservatively, the mortality rate can be over 50%. We describe our experience of managing a patient with a chylothorax following oesophagectomy, and the use of a blood patch (a novel technique) to overcome persistent leakage following re-operation. The authors feel that this technique has the potential for a wider application in the treatment of chyle leak, especially if combined with minimally invasive or radiological techniques.
Windhaber
R A J
RA
Department of Surgery, Royal United Hospital NHS Trust, Coombe Park, Bath, UK.
Holbrook
A G
AG
Krysztopik
R J
RJ
D001779:Blood Coagulation Factors / Q000627:therapeutic use; D002916:Chylothorax / Q000209:etiology / Q000628:therapy*; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000009:adverse effects*; D004943:Esophagogastric Junction; D005260:Female; D005337:Fibrin / Q000627:therapeutic use; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D017713:Platelet Transfusion / Q000379:methods*; D013897:Thoracic Duct / Q000601:surgery
D001779:Blood Coagulation Factors; D005337:Fibrin