| Title |
Successful radiation treatment of chylous ascites following pancreaticoduodenectomy
|
|---|---|
| Published in |
Strahlentherapie und Onkologie, January 2015
|
| DOI | 10.1007/s00066-014-0805-z |
| Pubmed ID | |
| Authors |
Stefanie Corradini, Sylke Liebig, Olivier M Niemoeller, Felix Zwicker, Wolfram Lamadé |
| Abstract |
Chylous ascites is a rare complication following pancreaticoduodenectomy. We report on a case of chylous ascites following pancreaticoduodenectomy in a 76-year-old patient diagnosed with pancreatic cancer. There are various known conservative management strategies, including dietary measures or total parenteral nutrition. Unfortunately, conservative treatment-with total parenteral nutrition and fasting over a period of 4 weeks-was not successful in the present case. The daily output volume of chylous ascites was up to 2500 ml/day. Based on clinical experiences with successfully treated lymphocutaneous fistulas, low-dose radiotherapy was initiated. External beam radiotherapy comprising a total dose of 8.0 Gy to the paraaortic lymph node region was administered in daily single fractions of 1.0 Gy (five fractions/week). Throughout the course of external beam radiotherapy, the secretion of abdominal ascites rapidly decreased, resulting in complete resolution after 2 weeks. There was no clinical evidence of chylous ascites on follow-up. As a result of this experience, we believe that external beam radiotherapy should be considered as an alternative therapy in refractory cases of chylous ascites. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 8 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 8 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 1 | 13% |
| Unknown | 7 | 88% |
| Readers by discipline | Count | As % |
|---|---|---|
| Physics and Astronomy | 1 | 13% |
| Unknown | 7 | 88% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 January 2015.
All research outputs
#20,248,338
of 22,776,824 outputs
Outputs from Strahlentherapie und Onkologie
#530
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Outputs of similar age
#294,917
of 351,548 outputs
Outputs of similar age from Strahlentherapie und Onkologie
#7
of 12 outputs
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