MedicineOncologySurgeryGastrointestinal OncologyGeneral SurgerySurgical OncologyAscites ManagementGastric CancerGastrointestinal Cancer SurgeryGastrointestinal SurgeryNutrition In Gastrointestinal SurgeryPostoperative Gastrointestinal ComplicationsChylous Ascites InterventionConservative Surgical TreatmentParenteral Nutrition AdministrationPostoperative AscitesRadical GastrectomyRecurrence After Conservative TreatmentSurgical Management Of Ascites
Postoperative chylous ascites is a classical but uncommon complication following extensive retroperitoneal or near the root of the mesentery dissection with an incidence ranging from 1.2 to 3%. Only 6 cases of chylous ascites have been described after ulcer surgery with troncal vagotomy associated with pyloroplasty and only 1 after gastrectomy. We report the second case of chylous ascites after a D2 distal gastrectomy. A 56-year-old female underwent a D2 distal gastrectomy and gastro-duodenostomy with omentectomy for a prepyloric T1N0M0 moderately differentiated adenocarcinoma. The patient was treated conservatively by both of parenteral nutrition and a fat free diet. By the end of 2(nd) postoperative week, the effusion became serous again and the output gradually ceased. The drain could be removed on the 20(th) postoperative day. Normal enteral nutrition was resumed, no recurrence of chylous ascites occurred. This conservative treatment proved to be effective as it as already be reported with resolution in almost 60% of the patients and remains the first choice option.