Chylous Ascites Post Colorectal Resections
Melissa Kyriakos Saad1, Karam Karam2, Elias Fiani3, Charbel Fares4, Elias Saikaly5*
1Saint George Hospital University Medical Center, Beirut, Lebanon
2Saint George Hospital University Medical Center, Beirut, Lebanon
3Department of Gastroenterology, Saint George Hospital University Medical Center, Beirut, Lebanon
4Saint George Hospital University Medical Center, Department of radiology, Beirut, Lebanon
5Saint George Hospital University Medical Center, Department of General Surgery, Beirut, Lebanon, Saint George University of Beirut, Beirut, Lebanon
*Corresponding Author: Elias Saikaly, Saint George Hospital University Medical Center, Department of General Surgery, Beirut, Lebanon, Saint George University of Beirut, Beirut, Lebanon.
Received:
May 24, 2024; Published: June 10, 2024
Abstract
An infrequently seen and rarely reported complication after colorectal surgery is chylous ascites. It is a clinical subject of increasing significance after colorectal surgery especially that once it occurs it impacts the postoperative recovery and may lead to malnutrition, electrolytes imbalances, protein and lymphocyte loss. However, with the advent of extended lymphadenectomy and adaption of total mesocolic excision in colorectal resections, more cases of chylous ascites are being seen and reported. It is generally regarded as postoperative buildup of chyle in the peritoneal cavity, characterized by the appearance of milky fluid and elevated triglyceride levels in the surgically placed drains. Chylous ascites post colorectal surgery is considered an infrequent event, and due to its rarity the etiology, the diagnosis and management options are not well established with no universal guidelines present to guide its treatment. Having said this, the goal of this article is to review the medical literature regarding chylous ascites post colorectal surgery in order to elucidate the definition, the grading and describe its incidence, the clinical presentation, risk factors, and the management options of this complication.
Keywords: Chylous Ascites; Resections; Post Colorectal
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