Somatostatin 피하주사를 추가한 보존적 방법으로 치료된 경부 절제술 후 발생한 유미 누공 2예
Somatostatin Treatment in Two Cases of Chyle Fistula after Neck Dissection
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The use of somastostatin in chyle fistula that occurs after neck dissection is a new approach that has been reported in few cases. We report two cases of chyle fistula that occurred after neck dissection, which were successfully managed with somatostatin subcutaneous injection. Somatostatin treatment resulted in an immediate reduction of chyle leakage in both patients, and might have contributed to the reduction of patients’ morbidity and duration of hospital stay. However, optimal treatment regimen with somatostatin is unclear because of its limited case and various administration methods. Further studies are required to clarify the usefulness and optimal regimen of somatostatin injection in the treatment of chyle fistula following neck dissection.
Abstract
The use of somastostatin in chyle fistula that occurs after neck dissection is a new approach that has been reported in few cases. We report two cases of chyle fistula that occurred after neck dissection, which were successfully managed with somatostatin subcutaneous injection. Somatostatin treatment resulted in an immediate reduction of chyle leakage in both patients, and might have contributed to the reduction of patients’ morbidity and duration of hospital stay. However, optimal treatment regimen with somatostatin is unclear because of its limited case and various administration methods. Further studies are required to clarify the usefulness and optimal regimen of somatostatin injection in the treatment of chyle fistula following neck dissection.
참고문헌 (11)
- Coşun A, "Somatostatin in medical management of chyle fistula after neck dissection for papillary thyroid carcinoma", Am J Otolaryngol, 31(5), pp.395~396 (2010)
- Nussenbaum B, "Systematic management of chyle fistula: the Southwestern experience and review of the literature", Otolaryngol Head Neck Surg, 122(1), pp.31~38 (2000)
- Lorenz K, "Management of lymph fistulas in thyroid surgery", Langenbecks Arch Surg, 395(7), pp.911~917 (2010)
- Valentine CN, "Somatostatin analog treatment of a cervical thoracic duct fistula", Head Neck, 24(8), pp.810~813 (2002)
- Ulíarri JI, "Reduction of lymphorrhagia from ruptured thoracic duct by somatostatin", Lancet, 336(8709), pp.258~ (1990)
- Ahn YJ, "Treatment of congenital chylothorax in a premature infant using octreotide", J Korean Soc Neonatol, 13(2), pp.261~266 (2006)
- Szabados E, "Use of octreotide in the treatment of chylopericardium", Heart Lung, 40(6), pp.574~575 (2011)
- 오웅건, "선천성 유미흉의 임상적 고찰과 옥트레오타이드 치료", Korean Journal of Pediatrics, 51(11), pp.1172~1178 (2008), 대한소아과학회
- Rodier JF, "Thoracic duct fistula after thyroid cancer surgery: towards a new treatment?", Case Rep Oncol, 4(2), pp.255~259 (2011)
- 장원석, "간경변 환자에서 위부분절제술 후 발생한 암죽복수 1예", 대한내과학회지, 80(4), pp.449~452 (2011), 대한내과학회
- Pelizzo MR, "Somatostatin in the treatment of lymphorrhea after lateral neck dissection", Minerva Chir, 47(18), pp.1485~1487 (1992)