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01-03-2020 | Laparoscopy | Letter to the Editor

Chyloperitoneum Associated to an Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)

Authors: Concepción Yárnoz, Coro Miranda, Carlos Chaveli, Irene Pelegrín

Published in: Obesity Surgery | Issue 3/2020

Excerpt

Chylous ascites is an uncommon disorder characterized by the presence of a milky or creamy appearing, triglyceride-rich fluid in the peritoneum, usually higher than 110 mg/dL. The underlying cause of chylous ascites is the disruption of lymphatic flow [1] due to obstruction, direct leakage, or to a congenital cause. Chylous ascites can also develop as a complication of abdominal and thoracic operations and trauma. Operations associated with this complication include abdominal aneurysm repair, retroperitoneal lymph node dissection, inferior cava resection, and liver transplantation [2]. …

Lizaola B, Bonder A, Trivedi HD, et al. Review article: the diagnostic approach and current management of chylous ascites. Aliment Pharmacol Ther. 2017;46(9):816–24.CrossRef

Tavakkoli A, Ashley SWZM. Principles of surgery. 11th ed. In: Brunicardi FC, Billiar TR, Dunn DL, Hunter JG, Kao LS, Matthews JBPR, editors. Small intestine, chapter 28. New York: McGraw-Hill; 2019. p. 1219–58.

Hidalgo JE, Ramirez A, Patel S, et al. Chyloperitoneum after laparoscopic Roux-en-Y gastric bypass (LRYGB). Obes Surg. 2010;20(2):257–60.CrossRef

Geubbels N, Lijftogt N, Fiocco M, et al. Meta-analysis of internal herniation after gastric bypass surgery. Br J Surg. 2015;102(5):451–60.CrossRef

Nau P, Narula V, Needleman B. Successful management of chyloperitoneum after laparoscopic adjustable gastric banding in 2 patients. Surg Obes Relat Dis. 2011;7(1):122–3. Available from: https://doi.org/10.1016/j.soard.2010.02.037

Hanson M, Chao J, Lim RB. Chylous ascites mimicking peritonitis after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Surg Obes Relat Dis. 2012;8(1):e1. Available from: https://doi.org/10.1016/j.soard.2010.07.014

Capristo E, Spuntarelli V, Treglia G, et al. A case report of chylous ascites after gastric bypass for morbid obesity. Int J Surg Case Rep. 2016;29:133–6. Available from: https://doi.org/10.1016/j.ijscr.2016.10.077

Zaidan LR, Ahmed EK, Halimeh B, et al. Long standing biliary colic masking chylous ascites in laparoscopic roux-en-Y gastric bypass; a case report. BMC Surg. 2018;18(1):1–4.CrossRef

Title: Chyloperitoneum Associated to an Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)
Authors: Concepción Yárnoz
Coro Miranda
Carlos Chaveli
Irene Pelegrín
Publication date: 01-03-2020
Publisher: Springer US
Keywords: Laparoscopy
Ascites
Published in: Obesity Surgery / Issue 3/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-019-04354-w

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Chyloperitoneum Associated to an Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)

Excerpt

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