title: [Management of chylous fistulas, a rare complication after urologic surgery].
abstract: OBJECTIVE
  To analyze the different treatments for postoperative chylous fistulae.
  
  
  METHODS
  A literature review of the main treatments for postoperative chylous fistula, providing our initial experience of two cases of patients with postsurgical chylorrea, with conservative treatment.
  
  
  RESULTS
  There is very limited experience in the treatment of chylous ascites. According to the literature reviewed, Octreotide (somatostatin analogue) can be used, to decrease fistula output. Both our cases cases were treated successfully with subcutaneous octreotide, with drain debit decrease in about 3 days.
  
  
  CONCLUSIONS
  The use of octreotide appears to be an effective treatment in the management of chylous fistulae, and it is suggested by some authors as first-line treatment in the management of these, thus decreasing the complications that can appear due to chyle loss.
authors.affiliation: Hospital Universitario Miguel Servet. Zaragoza, España.
authors.forename: Adib
authors.initials: A
authors.lastname: Reyes-Figueroa
authors.affiliation: Hospital Universitario Miguel Servet. Zaragoza, España.
authors.forename: Pedro
authors.initials: P
authors.lastname: Gil-Martínez
authors.affiliation: Hospital Universitario Miguel Servet. Zaragoza, España.
authors.forename: Ángel
authors.initials: Á
authors.lastname: Borque-Fernando
authors.affiliation: Hospital Universitario Miguel Servet. Zaragoza, España.
authors.forename: Jorge
authors.initials: J
authors.lastname: Rioja-Zuazu
authors.affiliation: Hospital Universitario Miguel Servet. Zaragoza, España.
authors.forename: Ramiro
authors.initials: R
authors.lastname: García-Ruiz
authors.affiliation: Hospital Universitario Miguel Servet. Zaragoza, España.
authors.forename: María Jesús
authors.initials: MJ
authors.lastname: Gil-Sanz
mesh_terms: D000368:Aged; D002915:Chylous Ascites / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*