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Updated: Aug 8, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Chyle fistula. Medical management with octreotide]
Daniel Bejarano Glez-Serna1, Antonio Utrera-Glez, José María Cordoncillo-Prieto
1Servicio de Cirugía General, Hospital Juan Ramón Jiménez, Huelva, Spain. danielbejarano@terra.es
Abstract:
Chyle fistula is an infrequent complication after neck surgery. The first line treatment is medical management, with adequate drainage and appropriate nutritional modifications. The use of octreotide in the treatment of chyle fistula is a novel approach that has been documented in only a few cases. We report a new case of thoracic duct injury effectively treated by octreotide, leading to an early decrease in drainage and early fistula closure with minimal adverse effects. This therapy may reduce length of hospital stay and morbidity. Further studies are required to confirm this observation.
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