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Updated: Apr 16, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
[Management of chylous fistulas, a rare complication after urologic surgery]
Adib Reyes-Figueroa1, Pedro Gil-Martínez1, Ángel Borque-Fernando1
1Hospital Universitario Miguel Servet. Zaragoza, España.
Objective:
To analyze the different treatments for postoperative chylous fistulae.
Methods:
A literature review of the main treatments for postoperative chylous fistula, providing our initial experience of two cases of patients with postsurgical chylorrea, with conservative treatment.
Results:
There is very limited experience in the treatment of chylous ascites. According to the literature reviewed, Octreotide (somatostatin analogue) can be used, to decrease fistula output. Both our cases cases were treated successfully with subcutaneous octreotide, with drain debit decrease in about 3 days.
Conclusions:
The use of octreotide appears to be an effective treatment in the management of chylous fistulae, and it is suggested by some authors as first-line treatment in the management of these, thus decreasing the complications that can appear due to chyle loss.
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