Okubo T, Narita Y, Doke M, Takahashi T, Okushiba S, Motohara T, Katoh H
Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Kyobu Geka. 1998 Jun;51(6):521-5.
A 75-year-old man of chylothorax after anterior spinal fusion successfully underwent thoracoabdominal operation in order to ligate chyloleakage. Not only preoperative milk intake but also intraoperative administration of milk through nasogastric tube was useful for identification of the site of leakage. OK-432 was administered through locally placed and chest tube after operation, after which residual chyloleakage was stopped. lntraoperative administration of milk through nasogastric tube was useful and OK-432 injection through topical and chest tube may be effective, these should be recommended for management of chylothorax.