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Updated: Feb 3, 2026
08:16
One-anastomosis Gastric Bypass OAGB in Rats
Published on: November 10, 2018
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[Good Controlled Chylothorax in Gastric Carcinoma]
Hiroyuki Tsuji1, Satoshi Hara, Junpei Urano
1Respiratory Division, Dept. of Internal Medicine, Itami City Hospital.
Gan to Kagaku Ryoho. Cancer & Chemotherapy
|November 2, 2018
Summary
Malignant chylothorax, a rare complication of gastric cancer, was successfully managed with a lipid-limited diet and talc pleurodesis. This case highlights a potential treatment approach for this challenging condition.
Area of Science:
- Oncology
- Gastroenterology
- Pulmonology
Background:
- Chylothorax is infrequently linked to malignant tumors, with gastric carcinoma being a rare cause.
- Accidental injuries account for most chylothorax cases in Japan.
Observation:
- A 58-year-old male presented with advanced gastric adenocarcinoma, dyspnea, pleural effusion, and ascites.
- Diagnostic analysis revealed malignant cells in pleural fluid and ascites, with elevated triacylglycerol levels, confirming malignant chylothorax.
- Computed tomography indicated massive pleural effusion and ascites.
Findings:
- The patient received a lipid-limited diet, octreotide, and underwent talc pleurodesis for pleural effusion.
- The treatment effectively controlled the chylothorax and pleurisy.
Implications:
- This case demonstrates the successful application of a combined therapeutic strategy for managing malignant chylothorax secondary to gastric cancer.
- Further research may explore the efficacy of this multimodal approach in similar complex oncological emergencies.
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