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Pesquisa : A12.207.270.606.350 [Categoria DeCS]
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  1 / 1082 MEDLINE  
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[PMID]:29480862
[Au] Autor:Yao BZ; Li L; Jiang M; Wang J; Zhang J
[Ti] Título:Refractory chyle leakage after laparoscopic cholecystectomy for gallstone disease: A case report and literature review.
[So] Source:Medicine (Baltimore);97(2):e9604, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Gallstone disease is commonly worldwide and safely treated by laparoscopic cholecystectomy. Chylous ascites is a rare but serious complication of many abdominal operations. PATIENT CONCERNS: We present a rare case of refractory chyle leakage post-LC for acute cholecystitis that is successfully treated in a 40-year-old man, and review current literature on the prevalence, diagnosis, and management of this complication. DIAGNOSES: Refractory chyle leakage post-LC, a rare but serious complication after laparoscopic cholecystectomy. INTERVENTIONS: Conservative treatment was given initially; however, the outcome was frustrating. Surgical intervention was given without further delay. OUTCOMES: After the reoperation, conservative treatment was still maintained. After nearly 8 months of treatment, the patient recovered and then was discharged. LESSONS: This case represents a previously unreported complication of refractory and high flow chyle leakage after laparoscopic cholecystectomy, which did not improve alter conservative management with dietary changes and other measures. So we suggest that surgical intervention should be given for refractory cases without further delay. It can not only shorten the disease progression, but also alleviate the sufferings of the patient.
[Mh] Termos MeSH primário: Colecistectomia Laparoscópica/efeitos adversos
Colecistite Aguda/cirurgia
Quilo
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Adulto
Tratamento Conservador
Drenagem
Cálculos Biliares/cirurgia
Seres Humanos
Masculino
Reoperação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009604


  2 / 1082 MEDLINE  
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[PMID]:29245340
[Au] Autor:Su CL; Chang GH; Fang KH; Chang CC
[Ad] Endereço:aDepartment of Surgery, Chang Gung Memorial Hospital, Linkou, TaoyuanbDepartment of Otolaryngology-Head and Neck SurgerycCenter of Excellence for Chang Gung Research Datalink, Chang Gung Memorial Hospital, ChiayidDepartment of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou, TaoyuaneDivision of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University HospitalfSchool of medicine, College of Medicine, China Medical University, TaichunggInstitute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan, Taiwan.
[Ti] Título:Successful salvage for the intractable massive chylous leakage in a cirrhotic patient: A case report and literature review.
[So] Source:Medicine (Baltimore);96(49):e9103, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Iatrogenic chylous leakage (CL) is a rare but potentially life-threatening complication after neck surgery. In cirrhotic patient, the massive CL is even more intractable and extremely dangerous due to portal hypertension. PATIENTS CONCERNS: A 54-year-old liver cirrhotic patient had milky fluid leakage from left neck drainage tube after neck dissection surgery and hypopharyngeal cancer ablation. Electrolyte imbalance and shock status were reported when conservative managements and exploratory surgical repair failed to terminate the leakage. DIAGNOSIS: Massive CL up to >5 L/day was recorded on the post-operative day (POD) 9. INTERVENTIONS: A triangular-shaped pectoralis major (PM) muscle was designed to repair the lymph nodes dissected defect over left neck. OUTCOMES: After surgery, CL dramatically reduced to less than 300 mL/day in the coming day without relapses and terminated on the 8th days. After 3 months, the wound completely healed and the food conduit passage was patent without fistula. LESSONS: This report demonstrated the superiority of pectoralis major myocutaneous flap (PMMF) than the conservative treatment, local muscle flap, and radiologic or thoracoscopic duct ligation in cirrhotic patient with massive CL.
[Mh] Termos MeSH primário: Quilo
Cirrose Hepática/complicações
Esvaziamento Cervical/efeitos adversos
Complicações Pós-Operatórias/cirurgia
[Mh] Termos MeSH secundário: Ablação por Cateter
Seres Humanos
Neoplasias Hipofaríngeas/cirurgia
Masculino
Meia-Idade
Músculos Peitorais/transplante
Choque/complicações
Retalhos Cirúrgicos
Equilíbrio Hidroeletrolítico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009103


  3 / 1082 MEDLINE  
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[PMID]:28499656
[Au] Autor:Weijs TJ; Ruurda JP; Broekhuizen ME; Bracco Gartner TCL; van Hillegersberg R
[Ad] Endereço:Department of Surgery, University Medical Center Utrecht, Netherlands. Electronic address: t.j.weijs@umcutrecht.nl.
[Ti] Título:Outcome of a Step-Up Treatment Strategy for Chyle Leakage After Esophagectomy.
[So] Source:Ann Thorac Surg;104(2):477-484, 2017 Aug.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Thoracic chyle leakage is a major complication of esophagectomy. In this study our treatment strategy for chyle leakage was evaluated and its risk factors were identified. METHODS: According to the Esophagectomy Complications Consensus Group recommendations, chyle leakage was classified as follows: I, enteric dietary modifications; II, total parenteral nutrition (TPN); and III, interventional or surgical therapy. It was graded as A, less than 1,000 mL per day; or B, more than 1,000 mL per day. In our protocol, chyle leakage less than 500 mL per day was treated with a low-fat diet; more than 1,000 mL per day, with TPN, and 500 to 1,000 mL per day, with a low-fat diet or TPN depending on whether the chyle leakage was increasing or decreasing at diagnosis and the clinical condition. Surgery was reserved for refractory leakages. RESULTS: In total 371 patients were included. Chyle leakage incidence was 21%, consisting of 51% grade A and 49% grade B leakage. Chyle leakage severity was associated with length of stay (grade A, median 17 days versus B, 25 days; p = 0.006). Independent risk factors were a transthoracic approach (odds ratio 4.8, p = 0.002), neoadjuvant chemoradiotherapy (odds ratio 2.6, p = 0.002), and preoperative body mass index (exp(B) 0.92, p = 0.031). Treatment consisted of low-fat diet in 53%, TPN in 37%, and surgery in 10% of the patients. Low-fat diet and TPN successfully treated 87% of chyle leaks. Chyle leakages treated by TPN first were significantly more severe compared with those treated first by low-fat diet, and were significantly associated with electrolyte deficiencies, increased complication severity, and length of stay, but not with 90-day mortality. CONCLUSIONS: A step-up treatment strategy, starting with dietary modifications, solved nearly 90% of chyle leaks conservatively. A minority of chyle leaks required surgery.
[Mh] Termos MeSH primário: Quilo
Drenagem/métodos
Nutrição Enteral
Esofagectomia/efeitos adversos
Derrame Pleural/terapia
Complicações Pós-Operatórias/terapia
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Idoso
Neoplasias Esofágicas/cirurgia
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Países Baixos/epidemiologia
Derrame Pleural/epidemiologia
Derrame Pleural/etiologia
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/etiologia
Reoperação
Estudos Retrospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170514
[St] Status:MEDLINE


  4 / 1082 MEDLINE  
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[PMID]:28478046
[Au] Autor:Mendu DR; Sternlicht H; Ramanathan LV; Pessin MS; Fleisher M; Dalbagni G; Jaimes EA; Kaltsas A; Glezerman IG
[Ad] Endereço:Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
[Ti] Título:Two cases of spontaneous remission of non-parasitic chyluria.
[So] Source:Clin Biochem;50(15):886-888, 2017 Oct.
[Is] ISSN:1873-2933
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Chyluria is a medical condition with presence of chyle in urine. The disease is most prevalent in South East Asian countries mostly caused by parasitic (Wuchereria bancrofti) infections. Our objective was to investigate the spontaneous remission of non-parasitic chyluria. DESIGN AND METHODS: The spontaneous remission of non-parasitic chyluria cases were worked up with diagnostic investigations, clinical assessment and studied in detail with respect to their natural evolution. RESULTS: We present two patients who were evaluated in the nephrology clinic with symptoms of milky urine and painless hematuria. Midnight blood smear was negative for filarial parasites. Urine culture was without mycobacteria. Urine cytology and IgG western blot for cysticercus were negative. Imaging for a lymphatic leak by lymphoscintigraphy was unrevealing. Chyluria resolved spontaneously in both patients. CONCLUSIONS: In our cases, radiologic visualization via lymphoscintigraphy was unrevealing. The patients were managed conservatively and fortunately underwent spontaneous remission marked by the disappearance of chyluria within several months of her initial diagnosis. In our opinion this spontaneous remission could be due to unrevealed lymphatico-renal fistula collapse or sclerosis of lymphatics caused by contrast media.
[Mh] Termos MeSH primário: Quilo
Remissão Espontânea
[Mh] Termos MeSH secundário: Idoso
Animais
Filariose Linfática/diagnóstico por imagem
Filariose Linfática/urina
Feminino
Seres Humanos
Urina
Wuchereria bancrofti
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170508
[St] Status:MEDLINE


  5 / 1082 MEDLINE  
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[PMID]:28245822
[Au] Autor:Tamura T; Kubo N; Yamamoto A; Sakurai K; Toyokawa T; Tanaka H; Muguruma K; Yashiro M; Maeda K; Hirakawa K; Ohira M
[Ad] Endereço:Department of Surgical Oncology, Osaka City University, Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, Japan. tamura.tatsuro@med.osaka-cu.ac.jp.
[Ti] Título:Cervical chylous leakage following esophagectomy that was successfully treated by intranodal lipiodol lymphangiography: a case report.
[So] Source:BMC Surg;17(1):20, 2017 Feb 28.
[Is] ISSN:1471-2482
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chylous leakage is a well-known complication after esophagectomy, but cervical chylous leakage is relatively rare, and considerable controversy remains regarding the appropriate management strategies. We herein report a case of cervical chylous leakage treated successfully by lipiodol lymphangiography. CASE PRESENTATION: The patient, a 70-year-old man with middle thoracic esophageal cancer, underwent radical esophagectomy with 3-field lymph node dissection and subsequently developed cervical chylous leakage. From the second postoperative day (POD2), the amount of fluid in the cervical drainage tube increased by 200-300 ml/day. We started octreotide (300 µg/day) on POD5 and etilefrine (120 mg/day) on the POD6. However, the amount of cervical discharge did not decrease. We performed lipiodol lymphangiography on POD8. Thereafter, the amount of cervical discharge finally began to decrease. We removed the drainage tube on POD13, and the patient was discharged from the hospital on POD23. CONCLUSIONS: Our case suggests the clinical efficacy of lipiodol lymphangiography for cervical chylous leakage after esophagectomy.
[Mh] Termos MeSH primário: Quilo
Meios de Contraste/uso terapêutico
Esofagectomia/efeitos adversos
Óleo Etiodado/uso terapêutico
Excisão de Linfonodo/efeitos adversos
Linfografia/métodos
[Mh] Termos MeSH secundário: Idoso
Carcinoma de Células Escamosas
Drenagem
Neoplasias Esofágicas
Seres Humanos
Masculino
Pescoço
Ducto Torácico/lesões
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contrast Media); 8008-53-5 (Ethiodized Oil)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE
[do] DOI:10.1186/s12893-017-0218-x


  6 / 1082 MEDLINE  
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[PMID]:27763684
[Au] Autor:Strobel O; Brangs S; Hinz U; Pausch T; Hüttner FJ; Diener MK; Schneider L; Hackert T; Büchler MW
[Ad] Endereço:Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
[Ti] Título:Incidence, risk factors and clinical implications of chyle leak after pancreatic surgery.
[So] Source:Br J Surg;104(1):108-117, 2017 Jan.
[Is] ISSN:1365-2168
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Chyle leak is a well known but poorly characterized complication after pancreatic surgery. Available data on incidence, risk factors and clinical significance of chyle leak are highly heterogeneous. METHODS: For this cohort study all patients who underwent pancreatic surgery between January 2008 and December 2012 were identified from a prospective database. Chyle leak was defined as any drainage output with triglyceride content of 110 mg/dl or more. Risk factors for chyle leak were assessed by univariable and multivariable analyses. The clinical relevance of chyle leak was evaluated using hospital stay and resolution by 14 days for short-term outcome and overall survival for long-term outcome. RESULTS: Chyle leak developed in 346 (10·4 per cent) of 3324 patients. Pre-existing diabetes, resection for malignancy, distal pancreatectomy, duration of surgery 180 min or longer, and concomitant pancreatic fistula or abscess were independent risk factors for chyle leak. Both isolated chyle leak and coincidental chyle leak (with other intra-abdominal complications) were associated with prolonged hospital stay. Some 178 (87·7 per cent) of 203 isolated chyle leaks and 90 (70·3 per cent) of 128 coincidental chyle leaks resolved with conservative management within 14 days. Initial and maximum drainage volumes were associated with duration of hospital stay and success of therapy by 14 days. Impact on survival was restricted to chyle leaks that persisted at 14 days in patients with cancer undergoing palliative surgery. CONCLUSION: Chyle leak is a relevant complication, with an incidence of more than 10 per cent after pancreatic surgery, and has a major impact on hospital stay. Drainage volume is associated with hospital stay and success of therapy.
[Mh] Termos MeSH primário: Quilo
Pancreatectomia/efeitos adversos
Pancreaticoduodenectomia/efeitos adversos
[Mh] Termos MeSH secundário: Abscesso/epidemiologia
Estudos de Coortes
Diabetes Mellitus/epidemiologia
Drenagem
Alemanha/epidemiologia
Seres Humanos
Incidência
Tempo de Internação/estatística & dados numéricos
Análise Multivariada
Duração da Cirurgia
Fístula Pancreática/epidemiologia
Neoplasias Pancreáticas/cirurgia
Complicações Pós-Operatórias
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE
[do] DOI:10.1002/bjs.10316


  7 / 1082 MEDLINE  
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[PMID]:28051270
[Au] Autor:Zhang YD; Cao RF; Jiang ZJ
[Ad] Endereço:Department of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China. cao_runfu1@163.com.
[Ti] Título:The approach of retroperitoneal laparoscopic partial dissection of adipose renal capsule plus ligation of renal pedicle lymphatic vessels to the treatment of chyluria.
[So] Source:Eur Rev Med Pharmacol Sci;20(24):5033-5036, 2016 Dec.
[Is] ISSN:2284-0729
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare the clinical effect of two surgical methods of treating chyluria, namely, retroperitoneal laparoscopic partial dissection of adipose renal capsule plus ligation of renal pedicle lymphatic vessels and retroperitoneal laparoscopic complete dissection of adipose renal capsule plus ligation of renal pedicle lymphatic vessels. PATIENTS AND METHODS: Thirty-eight cases have been divided into A and B groups. Retroperitoneal laparoscopic partial dissection of adipose renal capsule plus ligation of renal pedicle lymphatic vessels has been performed on Group A patients and retroperitoneal laparoscopic complete dissection of adipose renal capsule plus ligation of renal pedicle lymphatic vessels has been performed on Group B cases, and then their respective clinical efficacy has been compared. RESULTS: All the operations for the 38 cases were successful. The average operation time for Group A was 76.35 ± 23.11 min, and that for Group B was 97.35 ± 16.20 min. The average post-operative length of stay for Group A was 5.43 ± 1.21 days, and that for Group B was 7.22 ± 1.34 days. No complications were found in both groups, and all cases were tested negative for chyluria when discharged. No recurrences were reported. CONCLUSIONS: Retroperitoneal laparoscopic ligation of renal pedicle lymphatic vessels is a reliable method of treating chyluria. Compared with complete dissection of adipose renal capsule plus ligation of renal lymphatic vessels, partial dissection of adipose renal capsule plus ligation of renal pedicle lymphatic vessels boasts the advantages of shorter operation time, less bleeding, shorter term of hospitalization, and no renal pedicle torsion.
[Mh] Termos MeSH primário: Quilo
Vasos Linfáticos/cirurgia
Espaço Retroperitoneal
Procedimentos Cirúrgicos Urológicos/métodos
[Mh] Termos MeSH secundário: Quilo/metabolismo
Seres Humanos
Laparoscopia
Ligadura
Espaço Retroperitoneal/cirurgia
Urina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170105
[St] Status:MEDLINE


  8 / 1082 MEDLINE  
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[PMID]:27993325
[Au] Autor:Kim J; Won JH
[Ad] Endereço:Department of Radiology, School of Medicine, Ajou University Hospital, Ajou University, Suwon-si, Gyeonggi-do, Republic of Korea. Electronic address: jinoomail@gmail.com.
[Ti] Título:Percutaneous Treatment of Chylous Ascites.
[So] Source:Tech Vasc Interv Radiol;19(4):291-298, 2016 Dec.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Chylous ascites occurs as a result of lymphatic leakage, which contains high concentration of triglycerides. The leakage is caused by various benign or malignant etiologies ranging from congenital lymphatic abnormality to trauma. Lymphangiography has been shown to be effective in the diagnosis of lymphatic leakage and has also been reported to have therapeutic outcome. The development of intranodal technique for lymphangiography has recently made the procedure more widespread. As an adjunctive procedure, percutaneous embolization may be performed which involves use of embolic agents such as N-butyl cyanoacrylate and coil to occlude the leak. Embolization in the lymphatic system was first made popular by the introduction of thoracic duct embolization by Cope et al and has recently led to the development of various techniques for percutaneous embolization. This article reviews the options and techniques for percutaneous treatment of lymphatic leaks in patients presenting with chylous ascites.
[Mh] Termos MeSH primário: Quilo
Ascite Quilosa/terapia
Embolização Terapêutica/métodos
Radiografia Intervencionista/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Ascite Quilosa/diagnóstico por imagem
Ascite Quilosa/etiologia
Ascite Quilosa/fisiopatologia
Embolização Terapêutica/efeitos adversos
Feminino
Seres Humanos
Linfografia
Masculino
Meia-Idade
Valor Preditivo dos Testes
Radiografia Intervencionista/efeitos adversos
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170412
[Lr] Data última revisão:
170412
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE


  9 / 1082 MEDLINE  
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[PMID]:27993324
[Au] Autor:Nadolski G
[Ad] Endereço:Radiology Department, Penn Medicine, Philadelphia, PA. Electronic address: gnadolsk@gmail.com.
[Ti] Título:Nontraumatic Chylothorax: Diagnostic Algorithm and Treatment Options.
[So] Source:Tech Vasc Interv Radiol;19(4):286-290, 2016 Dec.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nontraumatic chylothorax is a relatively rare condition in which the intestinal lymph (chyle) leaks into the pleural cavity. Nontraumatic chylothorax is more difficult to treat than the more common traumatic chylothorax because the site of chylous leak may occur in less predictable locations. In the past, patients with nontraumatic chylothoraces were offered traditional fluoroscopically guided lymphangiography and thoracic duct embolization similar to traumatic chylothorax. However, the observation that thoracic duct embolization outcomes for nontraumatic chylothorax differed based on the imaging findings during lymphangiography has led to the development of a treatment algorithm, which incorporates noninvasive diagnostic studies, such as magnetic resonance lymphangiography. The development of this systematic approach allows better delineation of the source of the chylous leak and selection of the appropriate method of embolization. In this article, we will review the etiologies of nontraumatic chylothorax, the diagnostic work-up for managing this condition, and the treatment algorithm to care for these patients.
[Mh] Termos MeSH primário: Algoritmos
Quilo
Quilotórax/diagnóstico por imagem
Quilotórax/terapia
Embolização Terapêutica/métodos
Linfografia/métodos
Imagem por Ressonância Magnética Intervencionista/métodos
Imagem por Ressonância Magnética/métodos
Radiografia Intervencionista/métodos
Ducto Torácico/diagnóstico por imagem
[Mh] Termos MeSH secundário: Quilotórax/fisiopatologia
Procedimentos Clínicos
Técnicas de Apoio para a Decisão
Seres Humanos
Valor Preditivo dos Testes
Ducto Torácico/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170412
[Lr] Data última revisão:
170412
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE


  10 / 1082 MEDLINE  
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[PMID]:27993323
[Au] Autor:Stecker MS; Fan CM
[Ad] Endereço:Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address: mstecker@partners.org.
[Ti] Título:Lymphangiography for Thoracic Duct Interventions.
[So] Source:Tech Vasc Interv Radiol;19(4):277-285, 2016 Dec.
[Is] ISSN:1557-9808
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lymph leaks resulting in chylous pleural effusions can be life-threatening. Minimally invasive thoracic duct embolization and disruption have been gaining acceptance as first-line treatment for these leaks. This review discusses the techniques for both pedal and intranodal lymphangiography in detail. It also discusses the use of lymphangiography as a means of targeting a retroperitoneal lymphatic to facilitate thoracic duct interventions for chyle leaks. Finally, outcomes and adverse events pertaining to these thoracic duct interventions are discussed.
[Mh] Termos MeSH primário: Quilo
Quilotórax/diagnóstico por imagem
Quilotórax/terapia
Embolização Terapêutica/métodos
Linfografia/métodos
Derrame Pleural/diagnóstico por imagem
Derrame Pleural/cirurgia
Radiografia Intervencionista/métodos
Ducto Torácico/diagnóstico por imagem
[Mh] Termos MeSH secundário: Quilotórax/fisiopatologia
Meios de Contraste/administração & dosagem
Embolização Terapêutica/efeitos adversos
Embolização Terapêutica/instrumentação
Desenho de Equipamento
Seres Humanos
Linfografia/efeitos adversos
Linfografia/instrumentação
Derrame Pleural/fisiopatologia
Valor Preditivo dos Testes
Radiografia Intervencionista/efeitos adversos
Radiografia Intervencionista/instrumentação
Fatores de Risco
Ducto Torácico/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170412
[Lr] Data última revisão:
170412
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde