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Successful management of chylous ascites after living donor liver transplantation with somatostatin
Author(s) -
Ijichi Hideki,
Soejima Yuji,
Taketomi Akinobu,
Yoshizumi Tomoharu,
Uchiyama Hideaki,
Harada Noboru,
Yonemura Yusuke,
Maehara Yoshihiko
Publication year - 2008
Publication title -
liver international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.873
H-Index - 110
eISSN - 1478-3231
pISSN - 1478-3223
DOI - 10.1111/j.1478-3231.2007.01556.x
Subject(s) - chylous ascites , chyle , medicine , parenteral nutrition , complication , ascites , liver transplantation , cirrhosis , somatostatin , gastroenterology , transplantation , surgery
Chylous ascites is a rare complication following liver transplantation. A variety of treatment options have been proposed for the management of chylous ascites; however, their effectiveness following a liver transplant is unknown. A 40‐year‐old woman who underwent living donor liver transplantation for primary biliary cirrhosis developed chylous ascites 21 days after the transplant. A conventional treatment consisting of a low‐fat diet with total parenteral nutrition failed to treat the complication for 104 days. However, the use of somatostatin in combination with total parenteral nutrition resulted in a rapid falloff in chyle output without any adverse effects. Somatostatin and total parenteral nutrition are an effective option for the treatment of chylous ascites after living donor liver transplantation.