山口医学

Back to Top

山口医学 Volume 62 Issue 4
published_at 2013-11-01

A case of post-esophagectomy chylothorax treated by consurvative treatment with octreotide.

食道癌術後の乳糜胸に対してオクトレオチド投与を含めた保存的加療を行った1例
Kubo Hidefumi
Nakasuga Chiyo
Tada Kousuke
Miyahara Makoto
Hasegawa Hiroyasu
fulltext
2.45 MB
B030062000405.pdf
Descriptions
われわれは食道癌術後に発生した難治性の乳糜胸に対し酢酸オクトレオチド投与を含めた保存的治療を行った1例を経験した.症例は52歳男性,2012年9月に進行食道癌
We experienced a case in which conservative therapy including administration of octreotide acetate was effective for chylothorax after surgical treatment of esophageal cancer. A 65-year-old male had received neoadjuvant chemotherapy and thereafter underwent subtotal esophagectomy with lymph node excision of three regions(c-T3N1M0, StageⅢ).On third postoperative day, pleural fluid of right pleural cavity was noted and an increase of drainarge fluid was observed and subsequently he was diagnosed as chylothorax. Octreotide acetate and mynomycine were administered daily but observed no dignificant improvement. The persistent conservative treatment, using fat-restricted diet and TPN, and a second infusion of octreotide acetate resulted in gradual decrease of discharge. On the 50th postoperative day, the thoracic drainarge tube was removed and the 59th postoperative day, the patient was discharged. We report this case presented with 24 literatures reported of chyrothorax after esophagectomy for esophageal cancer.
Creator Keywords
食道癌
乳糜胸
酢酸オクトレオチド