We report a case of chyle leak following neck dissection, where octreotide (a somatostatin analogue) administered subcutaneously was able to control a high output leak (800鈥 1400 ml/day), which was refractory to routine conservative measures. The chyle output steadily decreased over 9 days to ...
one receiving total parenteral nutrition and the other receiving a low-fat diet. Total parenteral nutrition is more effective in controlling chylous complications, but in the case of low chylous excretion, combined use of octreotide and a low-fat diet is reasonable [9]. Our patient was started...
An unrecognized or persisting leak can lead to serious local wound complications, debilitation from protein and electrolyte depletion, and prolonged hospitalization.References (13) GG Nyquist et al. Octreotide in the medical management of chyle fistula Otolaryngol Head Neck Surg (2003) B Nussenbaum et...
Purpose Postoperative chyle leak (CL) is a rare but severe complication after neck dissection. Conservative first-line treatments, such as total parenteral nutrition (TPN), octreotide and pressure dressing, can significantly prolong the hospital stay. Efficient and well-tolerated conservative treatment ...
Low output chyle leak (<500 mL/day) is usually managed successfully by non-surgical approach which consist of dietary modification (fat intake <10 g/day), pharmacological treatment (subcutaneous octreotide injection 0.1 mg every 8 hours for 3 to 5 days) and drainage. However, if conservative ...
Octreotide has been used in the management of chyle leak post neck dissections in head and neck cancer patients. Currently there is no consensus and practice guidelines on the same. (1) To study the role of octreotide in early cessation of post neck dissection chyle leak. (2) To study ...
The patient was initially managed conservatively using head end elevation, use of stool softeners, medium chain fatty acid diet and octreotide therapy. However, the chyle leak did not resolve, and finally surgical intervention was performed which resulted in comp...
Three different grades of severity were defined according to the management needed: grade A, no specific intervention other than oral dietary restrictions; grade B, prolongation of hospital stay, nasoenteral nutrition with dietary restriction, total parenteral nutrition, octreotide, maintenance of surgical...
Despite conventional management with pleural drainage in excess of 1500 ml a day, cessation of enteral feeding, initiation of total parenteral nutrition and an octreotide infusion for over two months the patient did not survive. We focus on the diagnostic challenges associated with paediatric ...