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Ann R Coll Surg Engl · May 2010
Case ReportsBlood patch treatment of chylothorax following transthoracic oesophagogastrectomy: a novel technique to aid surgical management.
- R A J Windhaber, A G Holbrook, and R J Krysztopik.
- Department of Surgery, Royal United Hospital NHS Trust, Coombe Park, Bath, UK.
- Ann R Coll Surg Engl. 2010 May 1; 92 (4): W10-1.
AbstractChylothorax is a well-recognised complication of oesophagectomy, occurring in around 3% of cases. If managed conservatively, the mortality rate can be over 50%. We describe our experience of managing a patient with a chylothorax following oesophagectomy, and the use of a blood patch (a novel technique) to overcome persistent leakage following re-operation. The authors feel that this technique has the potential for a wider application in the treatment of chyle leak, especially if combined with minimally invasive or radiological techniques.
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