Case Report
Octreotide for Conservative Management of Postoperative Chylothorax
A. Gómez-Caro Andrés
, C. Marrón Fernández, F.J. Moradiellos Díez, V. Díaz-Hellín Gude, J.A. Pérez Antón, J.L. Martín de Nicolás
Corresponding author
ABELITOV@yahoo.es
Correspondence: Dr. A. Gómez-Caro Andrés. Servicio de Cirugía Toracica. Hospital 12 de Octubre. Ctra. de Andalucía, km 5,400. Madrid. España
Correspondence: Dr. A. Gómez-Caro Andrés. Servicio de Cirugía Toracica. Hospital 12 de Octubre. Ctra. de Andalucía, km 5,400. Madrid. España
Servicio de Cirugía Toracica, Hospital 12 de Octubre, Madrid, Spain
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Martín de Nicolás" "autores" => array:6 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "A." "apellidos" => "Gómez-Caro Andrés" "email" => array:1 [ 0 => "ABELITOV@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Marrón Fernández" ] 2 => array:2 [ "nombre" => "F.J." "apellidos" => "Moradiellos Díez" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Díaz-Hellín Gude" ] 4 => array:2 [ "nombre" => "J.A." "apellidos" => "Pérez Antón" ] 5 => array:2 [ "nombre" => "J.L." "apellidos" => "Martín de Nicolás" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cirugía Toracica, Hospital 12 de Octubre, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. A. Gómez-Caro Andrés. Servicio de Cirugía Toracica. Hospital 12 de Octubre. Ctra. de Andalucía, km 5,400. Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-01-19" "fechaAceptado" => "2004-02-17" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153142" "palabras" => array:3 [ 0 => "Chylothorax" 1 => "Octreotide" 2 => "Conservative management" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153143" "palabras" => array:3 [ 0 => "Quilotórax" 1 => "Octreótido" 2 => "Manejo conservador" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Postoperative chylothorax after lung resection is a major problem leading to morbidity and mortality and requiring reoperation in a large number of cases. The most advisable and least aggressive option is conservative management in progressive stages: a diet rich in medium-chain fatty acids and/or total parenteral nutrition, in addition to chest tube drainage. Including octreotide in this regimen seems to be related to a higher success rate without the need for surgery. We report a case in which the effectiveness and safety of octreotide in the resolution of postoperative chylothorax was excellent.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El quilotórax posquirúrgico tras resección pulmonar es un problema importante por su morbimortalidad y suele obligar a la reintervención en un porcentaje importante de los casos. La opción más aconsejable y menos radical es el tratamiento conservador con medidas escalonadas: dieta rica en ácidos grasos de cadena media y/o nutrición parenteral total, además de tubo de toracostomía. El uso del octreótido entre estas medidas parece estar relacionado con un ín-dice mayor de resolución sin necesidad de un tratamiento quirúrgico. Presentamos un caso en que su efectividad e ino-cuidad en la resolución del quilotórax posquirúrgico fue ex-celente.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current management of postoperative chylothorax" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H Fahimi" 1 => "FP Casselman" 2 => "MA Mariani" 3 => "WJ van Boven" 4 => "PJ Knaepen" 5 => "HA van Swieten" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2001" "volumen" => "71" "paginaInicial" => "448" "paginaFinal" => "451" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11235686" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => 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