Department of Surgery, Holy Family Hospital, Namsauy St. 1, Nazareth, Israel.
The Azrieli, Faculty of Medicine, Bar-Ilan University, Ramat-Gan, Israel.
Obes Surg. 2022 Aug;32(8):2764-2771. doi: 10.1007/s11695-022-06136-3. Epub 2022 Jun 8.
Chyloperitoneum and chylothorax (ChP/ChT) are rare complications after bariatric surgery. This systematic review aims to evaluate the incidence, cause, treatment, and outcome of ChP and ChT after bariatric surgery. This review investigates published English language scientific literature systematically in an attempt to answer these questions. Our literature search revealed 66 studies, of which 23 were included. There were a total of 40 patients (38, ChP; 2, ChT). Eighteen of 40 (43.9%) patients were treated laparoscopically, and one patient (2.44%) underwent thoracoscopy and ligation of the thoracic duct. Both ChP and ChT are rare complications after bariatric surgery.
乳糜性腹水和乳糜性胸腔积液(ChP/ChT)是减肥手术后罕见的并发症。本系统综述旨在评估减肥手术后 ChP 和 ChT 的发生率、病因、治疗和结局。本综述系统地调查了已发表的英文科学文献,试图回答这些问题。我们的文献检索共发现 66 项研究,其中 23 项被纳入。共有 40 名患者(38 例 ChP;2 例 ChT)。40 名患者中有 18 名(43.9%)接受了腹腔镜治疗,1 名患者(2.44%)接受了胸腔镜和胸导管结扎术。ChP 和 ChT 均是减肥手术后罕见的并发症。