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                        "tituloSerie" => "Am J Gastroenterol"
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                        "link" => array:1 [
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                  "referenciaCompleta" => "Greenberger HJ&#44; Skillman TG&#46; Medium-chain triglycerides&#58; Physiologic considerations and clinical considerations&#46; N Engl J"
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Vol. 24. Núm. 7.
Páginas 321-323 (octubre 2000)
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Vol. 24. Núm. 7.
Páginas 321-323 (octubre 2000)
Acceso a texto completo
Ascitis quilosa tras cirugía de aorta abdominal
Chylous ascities after abdominal aortic surgery
Visitas
8364
J. Ortega Carnicer1, A. Ambrós Checa, M.L. Gómez Grande
Servicio de Medicina Intensiva. Complejo Hospitalario de Ciudad Real
Este artículo ha recibido
Información del artículo

La ascitis quilosa es una complicación extremadamente infrecuente de la cirugía aórtica abdominal, que puede ocasionar problemas nutricionales, deficiencias inmunológicas y alteraciones respiratorias. El diagnóstico de la ascitis quilosa se basa en la paracentesis abdominal que revela un líquido lechoso, sin olor, estéril, con un pH alcalino, unas proteínas totales > 3 g/dl, una cantidad de grasa total entre 0,4 y 4,0 g/dl (triglicéridos > 1.000 mg/dl) y escasa cantidad de leucocitos con predominio linfocítico. Se presenta un paciente con ascitis quilosa en el postoperatorio de un aneurisma aórtico infrarrenal parcialmente roto. El tratamiento consistió en el drenaje de la ascitis, el establecimiento de una dieta absoluta oral y una nutrición parenteral total y, finalmente, el cambio a una nutrición enteral con triglicéridos de cadena media. El paciente falleció por un cuadro de fallo multiorgánico, sin relación alguna con la ascitis quilosa.

Palabras clave:
ascitis quilosa
quiloperitoneo
nutrición
cirugía aórtica

Chylous ascites is an extremely rare complication after abdominal aortic surgery that can lead to nutritional, immunological and respiratory consequences. The diagnosis of chylous ascites is made by paracentesis which reveales a milky, odorless, sterile fluid, with an alkaline pH, a total protein level greater than 3 g/dl, a high fat content between 0.4 and 4.0 g/dl (triglycerides > 1000 mg/dl), and lymphocytes on the differential white blood cell count. We present a patient with chylous ascites following abdominal aortic infrarenal aneurism partially broken. Treatment was directed to removing ascitis by abdominal paracenteses, bowel rest, total parenteral nutrition and, finally, enteral nutrition with medium chain triglycerides. The patient died in multiorgan failure, without any relation with the chylous ascites.

Key words:
chylous ascites
chyloperitoneum
nutrition
aortic surgery
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Bibliografía
[1.]
R.M. Glickman, K.J. Isselbacher.
Hinchazón abdominal y ascitis.
Principios de Medicina Interna, pp. 275-277
[2.]
J.T. Nix, M. Albeert, J. Dugas, D.L. Wendt.
Chylothorax and chylous ascites. A study of 302 selected cases.
Am J Gastroenterol, 28 (1957), pp. 40-55
[3.]
R.A. Savrin, R. High.
Chylous ascites after abdominal aortic surgery.
Surgery, 98 (1985), pp. 865-869
[4.]
C.J. Ablan, F.N. Littooy, R.J. Freeark.
Postoperative chylous ascites: diagnosis and treatment.
Arch Surg, 125 (1990), pp. 270-273
[5.]
T.S. Pabst III, K.E. McIntyre, J.D. Schilling, G.C. Huntter, V.M. Bernhard.
Management of chyloperitoneum after abdominal aortic surgery.
Am J Surg, 166 (1993), pp. 194-199
[6.]
T.C. King, C.R. Smith.
Chest wall, pleura, lung, and mediastinum.
Principles of surgery, pp. 659-777
[7.]
J.R. Moran, H.L. Green.
Digestion and absortion.
Enteral and Tube Feeding, pp. 10-33
[8.]
Greenberger HJ, Skillman TG. Medium-chain triglycerides: Physiologic considerations and clinical considerations. N Engl J
Copyright © 2000. Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L.
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