title: Chylous ascites after a living-donor liver graft, effectively treated in a child with octreotide.
abstract: Chylous ascites after a liver transplant is a rare complication of surgery. We report a 11-month-old girl with biliary atresia who was presented with chylous ascites after a liver transplant. On the seventh day after surgery, while being fed, chylous ascites was observed. Besides fasting and diuretics, total parenteral nutrition and somatostatin analogue (octreotide) were initiated. Chylous ascites resolved in 3 weeks. Abdominal distention recurred 1 week later; fasting and total parenteral nutrition, combined with octreotide, were administered again for 2 more weeks. Thereafter, enteral feeding was started without any complications.
authors.affiliation: Department of Pediatric Gastroenterology, Hepatology and Nutrition, Gazi University, Ankara, Turkey.
authors.forename: Aysel
authors.initials: A
authors.lastname: Ünlüsoy Aksu
authors.forename: Zeliha
authors.initials: Z
authors.lastname: Demirtaş
authors.forename: Ödül
authors.initials: Ö
authors.lastname: Eğritaş Gürkan
authors.forename: Buket
authors.initials: B
authors.lastname: Dalgıç
authors.forename: Hakan
authors.initials: H
authors.lastname: Sözen
authors.forename: Aydın
authors.initials: A
authors.lastname: Dalgıç
mesh_terms: D001656:Biliary Atresia / Q000175:diagnosis / Q000601:surgery*; D002915:Chylous Ascites / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D015282:Octreotide / Q000627:therapeutic use*; D010289:Parenteral Nutrition, Total; D012008:Recurrence; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015282:Octreotide