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Vol. 40. Issue 10.
Pages 473-475 (October 2004)
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Vol. 40. Issue 10.
Pages 473-475 (October 2004)
Case Report
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Octreotide for Conservative Management of Postoperative Chylothorax
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A. Gómez-Caro Andrés
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
, C. Marrón Fernández, F.J. Moradiellos Díez, V. Díaz-Hellín Gude, J.A. Pérez Antón, J.L. Martín de Nicolás
Servicio de Cirugía Toracica, Hospital 12 de Octubre, Madrid, Spain
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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.

Key Words:
Chylothorax
Octreotide
Conservative management

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.

Palabras clave:
Quilotórax
Octreótido
Manejo conservador
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Copyright © 2004. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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