Chylous Ascites:A Review of Pathogenesis,Diagnosis and Treatment
Chylous Ascites: A Review of Pathogenesis, Diagnosis and Treatment作者机构：Department of MedicineDivision of Gastroenterology-HepatologyUCONN HealthFarmingtonCTUSA Department of Pathology and Lab MedicineUCONN HealthFarmingtonCTUSA Department of Diagnostic Imaging and TherapeuticsUCONN HealthFarmingtonCTUSA Department of MedicineDivision of Gastroenterology-HepatologyUCONN HealthFarmingtonCT 06030USA
出 版 物：《Journal of Clinical and Translational Hepatology》 (临床与转化肝病杂志（英文版）)
年 卷 期：2018年第6卷第1期
页 面：105-113页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：This work was funded in part by a grant from Alexion Corporation and the Herman Lopata Chair in Hepatitis Research
主 题：Chylous ascites Portal hypertension Cirrhosis Ascitic fluid Lymphatic system
摘 要：Chylous ascites(CA)is a rare form of ascites that results from the leakage of lipid-rich lymph into the peritoneal *** usually occurs due to trauma and rupture of the lymphatics or increased peritoneal lymphatic pressure secondary to *** underlying etiologies for CA have been classified as traumatic,congenital,infectious,neoplastic,postoperative,cirrhotic or *** malignancy and cirrhosis account for about two-thirds of all the cases of CA in Western countries,in this article we have attempted to reclassify CA based on portal and non-portal *** diagnosis of CA is based on the distinct characteristic of the ascitic fluid which includes a milky appearance and a triglyceride level of200 mg/*** management consists of identifying and treating the underlying disease process,dietary modification,and *** studies have also supported the use of agents such as orlistat,somatostatin,octreotide and *** and surgical interventions in the form of transjugular intrahepatic portosystemic shunt(commonly known as TIPS),peritoneal shunt,angiography with embolization of a leaking vessel,and laparotomy remain as treatment options for cases refractory to medical management.
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