Case Report and Literature Review: Intraoperative Injury to Cisterna Chyli During an Elective Pancreatic Resection Leads to Chylous Ascites and a Poor Outcome

Authors: Al-Kubati WR, Rihani H, Zeadat A

Source: Open Access Surgery, Vol Volume 16, Pp 7-11 (2023)

Subject Terms: background: chylous ascites is a rare condition. it develops as a result of iatrogenic injury to the cisterna chyli, thoracic duct, or their major tributaries. it leads to increase chyle release. subsequently obstruction of lymphatic return from abdomen. it is more prevalent after major abdominal procedures involving retro-peritoneum. case presentation: a 65 years old female patient was admitted with history of pain at epigastric and left upper abdominal quadrant via the emergency department at king hussein medical centre. she was planned for elective whipple’s procedure for cancer head of pancreas. this case report considers the impact of intraoperative injury to major lymphatic system leading to chylous ascites and death following her pancreatic resection. retrospective evaluation of her records, revealed an intraoperative iatrogenic injury to the cisterna chyli had occurred during whipple’s procedure. the injured lymphatic duct was discovered and repaired intraoperatively. the chyle drainage was resolved temporarily after three weeks of conservative management. despite its resolution, it recurred after massive upper gi bleeding which managed operatively after failed endoscopic and embolization. the patient failed to recover and died as a direct result of her poor general condition due to the effects of an iatrogenic injury of cisterna chyli. we report this case of intraoperative injury to the cisterna chyli, subsequent development of chylous ascites, and its post-operative sequelae. this article considers, even if discovered and repaired intraoperatively, the impact of such injury on development of postoperative chylous ascites, nutritional insufficiency, poor prognosis and subsequent death. conclusion: chylous ascites is a rare complication of whipple’s procedure. usually progresses due to iatrogenic operational trauma to the significant lymphatic channel. even if such injury to cisterna chyli is discovered and managed intraoperatively, it carries a poor prognosis and subsequent death., Surgery, RD1-811

File Description: electronic resource

Relation: https://www.dovepress.com/case-report-and-literature-review-intraoperative-injury-to-cisterna-ch-peer-reviewed-fulltext-article-OAS; https://doaj.org/toc/1178-7082

Access URL: https://doaj.org/article/74f907bcf7bf4efab30cf1344f1e71b9

The Prevalence of feeding disorders in healthy infants and children under 3 years of age based on a questionnaire study

Authors: Aleksandra Kamińska-Sobczak, Elżbieta Trafalska, Ewelina Gaszyńska

Source: Journal of Education, Health and Sport, Vol 27, Iss 1 (2023)

Subject Terms: avoidant restrictive food intake disorder, eating behaviour, feeding difficulties, malnutrition, nutritional insufficiency, selective eating, Education, Sports, GV557-1198.995, Medicine

File Description: electronic resource

Relation: https://apcz.umk.pl/JEHS/article/view/43411; https://doaj.org/toc/2391-8306

Access URL: https://doaj.org/article/4f1640e52b2b4437a9ec9d8414cfdadc

Resected bowel syndrome: clinical course and treatment options

Authors: I. E. Hatkov, T. N. Kuzmina, E. A. Sabelnikova, A. I. Parfenov

Source: Терапевтический архив, Vol 92, Iss 12, Pp 36-42 (2020)

Subject Terms: consequences of intestinal resection, treatment of nutritional insufficiency, Medicine

File Description: electronic resource

Relation: https://ter-arkhiv.ru/0040-3660/article/viewFile/60252/43414; https://doaj.org/toc/0040-3660; https://doaj.org/toc/2309-5342

Access URL: https://doaj.org/article/b8d70f6f80604f67b6807c9904112d43

Prospects for the use of additional oral nutrition (siping) in nutritional support of cancer patients

Authors: E. V. Gameeva

Source: Исследования и практика в медицине, Vol 7, Iss 3, Pp 136-145 (2020)

Subject Terms: cancer, nutritional insufficiency, nutritional supplements, siping, quality of life, enteral nutrition, nutritional support, Medicine

File Description: electronic resource

Relation: https://www.rpmj.ru/rpmj/article/view/597; https://doaj.org/toc/2410-1893

Access URL: https://doaj.org/article/3678f610f06f4596ac83bdb587d583ce

Features of nutritional support during stem cell transplantation

Authors: S. A. Volchenkov, L. V. Filatova, E. V. Cherkasova, A. K. Koviazin, S. V. Lyubimov, I. S. Zyuzgin, T. Yu. Semiglazova

Source: Медицинский совет, Vol 0, Iss 9, Pp 156-164 (2020)

Subject Terms: nutritional support, nutritional insufficiency, allogeneic and autologous hematopoietic stem cell transplantation, immunonutrients, neutropenic diet, Medicine

File Description: electronic resource

Relation: https://www.med-sovet.pro/jour/article/view/5719; https://doaj.org/toc/2079-701X; https://doaj.org/toc/2658-5790

Access URL: https://doaj.org/article/7b2dc6006bd34d2084a36a890ff2afa7

Nutritional insufficiency and therapy for cancer patients. Modern view on the problem

Authors: E. V. Gameeva, V. E. Khoronenko, M. M. Shemetova

Source: Сибирский онкологический журнал, Vol 19, Iss 2, Pp 116-124 (2020)

Subject Terms: cancer, nutritional insufficiency, nutritional supplements, enteral nutrition, quality of life, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282

File Description: electronic resource

Relation: https://www.siboncoj.ru/jour/article/view/1407; https://doaj.org/toc/1814-4861; https://doaj.org/toc/2312-3168

Access URL: https://doaj.org/article/5bea104310b64bdaa652dbada2f85dbc

A role for plant science in underpinning the objective of global nutritional security?

Authors: Martin, Cathie

Source: Annals of Botany, 2018 Sep 01. 122(4), 541-553.

Access URL: https://www.jstor.org/stable/26527344

Studying nutritional insufficiency in patients with chronic pancreatitis in the age-related aspect

Authors: L.S. Babinets, N.A. Shevchenko

Source: Gastroenterologìa, Vol 52, Iss 1, Pp 14-18 (2018)

Subject Terms: mineral metabolism, vitamin metabolism, nutritional insufficiency, chronic pancreatitis, age-related aspect, Diseases of the digestive system. Gastroenterology, RC799-869

File Description: electronic resource

Relation: http://gastro.zaslavsky.com.ua/article/view/130774; https://doaj.org/toc/2308-2097; https://doaj.org/toc/2518-7880

Access URL: https://doaj.org/article/8ed6dcc843614619bd0642c46788c223

This result is not displayed to guests.
Login for full access.

This result is not displayed to guests.
Login for full access.

This result is not displayed to guests.
Login for full access.

This result is not displayed to guests.
Login for full access.

This result is not displayed to guests.
Login for full access.

Cardinal Health to buy Medtronic's medical supplies units for $6.1 bn

Source: domain-B (India), April 18, 2017 News, 2pp