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Chylous Ascites After Gastric Cancer Surgery: Risk Factors and Treatment Results
DC Field | Value | Language |
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dc.contributor.author | 김유민 | - |
dc.contributor.author | 김형일 | - |
dc.contributor.author | 조민아 | - |
dc.contributor.author | 형우진 | - |
dc.contributor.author | 박성현 | - |
dc.contributor.author | 김기윤 | - |
dc.date.accessioned | 2023-07-12T03:07:55Z | - |
dc.date.available | 2023-07-12T03:07:55Z | - |
dc.date.issued | 2023-04 | - |
dc.identifier.issn | 2093-582X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/195513 | - |
dc.description.abstract | Purpose: Although chylous ascites is a frequent complication of radical gastrectomy for gastric cancer, proper diagnostic criteria and optimal treatment strategies have not been established. This study aimed to identify the clinical features of chylous ascites and evaluate the treatment outcomes. Materials and methods: We retrospectively analyzed the data of patients who underwent radical gastrectomy between 2013 and 2019. Diagnosis was made when milky fluid or elevated triglyceride levels (≥100 mg/dL) appeared in the drains without a preceding infection. The clinical features, risk factors, and treatment outcomes were assessed according to the initial treatment modalities for fasting and non-fasting groups. Results: Among the 7,388 patients who underwent radical gastrectomy for gastric cancer, 156 (2.1%) experienced chylous ascites. The median length of hospital stay was longer in patients with chylous ascites than in those without (median [interquartile range]: 8.0 [6.0-12.0] vs. 6.0 [5.0-8.0], P<0.001). Low body mass index (adjusted odds ratio [aOR]=0.9; P<0.001), advanced gastric cancer (aOR=1.51, P=0.024), open surgery (reference: laparoscopic surgery; aOR=1.87, P=0.003), and extent of surgical resection (reference: subtotal gastrectomy, total gastrectomy, aOR=1.5, P=0.029; proximal gastrectomy, aOR=2.93, P=0.002) were associated with the occurrence of chylous ascites. The fasting group (n=12) was hospitalized for a longer period than the non-fasting group (n=144) (15.0 [12.5-19.5] vs. 8.0 [6.0-10.0], P<0.001). There was no difference in grade III complication rate (16.7% vs. 4.2%, P=0.117) or readmission rate (16.7% vs. 11.1%, P=0.632) between the groups. Conclusions: A fat-controlled diet and medication without fasting provided adequate initial treatment for chylous ascites after radical gastrectomy for gastric cancer. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Korean Gastric Cancer Association | - |
dc.relation.isPartOf | JOURNAL OF GASTRIC CANCER | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Chylous Ascites After Gastric Cancer Surgery: Risk Factors and Treatment Results | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Sung Hyun Park | - |
dc.contributor.googleauthor | Ki-Yoon Kim | - |
dc.contributor.googleauthor | Minah Cho | - |
dc.contributor.googleauthor | Hyoung-Il Kim | - |
dc.contributor.googleauthor | Woo Jin Hyung | - |
dc.contributor.googleauthor | Yoo Min Kim | - |
dc.identifier.doi | 10.5230/jgc.2023.23.e2 | - |
dc.contributor.localId | A00782 | - |
dc.contributor.localId | A01154 | - |
dc.contributor.localId | A05418 | - |
dc.contributor.localId | A04382 | - |
dc.relation.journalcode | J01415 | - |
dc.identifier.eissn | 2093-5641 | - |
dc.identifier.pmid | 37129150 | - |
dc.subject.keyword | Chylous ascites | - |
dc.subject.keyword | Gastrectomy | - |
dc.subject.keyword | Gastric cancer | - |
dc.subject.keyword | Treatment | - |
dc.contributor.alternativeName | Kim, Yoo Min | - |
dc.contributor.affiliatedAuthor | 김유민 | - |
dc.contributor.affiliatedAuthor | 김형일 | - |
dc.contributor.affiliatedAuthor | 조민아 | - |
dc.contributor.affiliatedAuthor | 형우진 | - |
dc.citation.volume | 23 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 253 | - |
dc.citation.endPage | 263 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTRIC CANCER, Vol.23(2) : 253-263, 2023-04 | - |
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