What is the survival rate for colon surgery?
Colon resection is a common operation that is associated with a mortality rate of 2% to 6%. Multiple studies have evaluated factors related to mortality after colectomy, including surgeon factors or hospital volume,7-9 while others have derived risk stratification models using patient comorbidities.
Can chylous ascites be cured?
Chyle is a milky fluid made in the bowels (intestines) during digestion. Depending the cause, doctors can treat chylous ascites (KYE-lus uh-SYE-teez) and often cure it.
How do you manage chylous ascites?
Postsurgical chylous ascites has high cure rate with conservative therapy alone. Therapeutic paracentesis, diuretics, salt restriction, a high-protein, low-fat, mediumchain triglyceride diet, and parenteral nutrition are considered in chronic cases. The effects of longterm paracentesis on patients remains to be seen.
What is congenital chylous ascites?
Congenital chylous ascites (CCA) is a rare disease that results from mal development of the intra-abdominal lymphatic system and no gold standard treatment described so far. It is defined as the accumulation of triglyceride-rich milky fluid into peritoneal cavity in infant younger than three months.
Does bowel surgery reduce life expectancy?
The 30-day mortality rate was 4% after elective and 11% after emergency resections. Most deaths were caused by medical complications, reflecting increased co-morbidity in the elderly. Post-operative mortality was 1% in patients under the age of 59.
What is a chyle leak?
Chyle leak formation is an uncommon but serious sequela of head and neck surgery when the thoracic duct is inadvertently injured, particularly with the resection of malignancy low in the neck. The thoracic duct is the primary structure that returns lymph and chyle from the entire left and right lower half of the body.
How long can you survive with ascites?
The probability of survival at one and five years after the diagnosis of ascites is approximately 50 and 20%, respectively, and long-term survival of more than 10 years is very rare . In addition, mortality rises up to 80% within 6–12 months in patients who also develop kidney failure .
What is chylous ascites?
Chylous ascites: diagnosis, causes and treatment Chylous ascites is a rare form of ascites and generally associated with a poor outcome since it is often secondary to neoplasms. Its true incidence is not well established in the general medico-surgical population.
When is surgery indicated in the treatment of chylous ascites?
Algorithm for the management of chylous ascites. Surgery may be an option in certain select cases. In patients with postoperative chylothorax and CA, indications for surgery include chylous leak >1000 mL/d for >5 days or a persistent leak for >2 weeks despite optimized conservative management.
When is paracentesis indicated in the treatment of ascites?
Abdominal paracentesis In patients with symptomatic ascites, therapeutic paracentesis should be performed to relieve symptoms. Repeated large volume paracentesis may be a reasonable option for patients with end-stage liver disease who are not candidates for medical or surgical treatment.
How accurate is cytology in the diagnosis of ascitic effusion?
A positive fluid cytology has a high correlation with presence of peritoneal carcinomatosis, with 96.7% of patients demonstrating positive cytology.21Sensitivity and specificity of cytology in ascitic effusions has been reported to be 62.4% and 98.0%, respectively, with a positive predictive value of 100.0% and a negative predictive value of 88.3%.