Radiation Oncology Journal

  • 제35권4호
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  • Pages.380-384
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  • 2017
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  • 2234-1900(pISSN)
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  • 2234-3156(eISSN)
대한방사선종양학회 (The Korean Society for Radiation Oncology)
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Low-dose radiation therapy for massive chylous leakage after subtotal gastrectomy

  • Kim, Sang-Won (Department of Radiation Oncology, Konyang University College of Medicine) ;
  • Kim, Jung Hoon (Department of Radiation Oncology, Konyang University College of Medicine)
  • 투고 : 2017.04.04
  • 심사 : 2017.04.13
  • 발행 : 2017.12.31
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초록

Massive chylous leakage is a rare postoperative complication that can prolong hospital stay and cause secondary morbidities. Conservative management strategies are the treatment of choice; however, radiation therapy (RT) can be used as an alternative for cases that are refractory to conservative treatment. Herein, we report a 69-year-old female patient who suffered from massive chylous leakage after subtotal gastrectomy. Due to persistent massive chylous leakage, she was scheduled to undergo low-dose RT. Radiation was delivered with a daily dose of 1 Gy, using an anterior-posterior and posterior-anterior beam arrangement. The clinical target volume encompassed the entire lymph node area of the D2 dissection. RT was completed at the total dose of 8 Gy because the amount of chylous leakage declined rapidly. Percutaneous drainage tube was removed after 3 days of RT. The patient did not complain of any symptoms related to massive chylous leakage 2 years after the completion of RT.

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참고문헌

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피인용 문헌

  1. Radiotherapy in post-operative chylous ascites treatment vol.14, pp.suppl, 2017, https://doi.org/10.36290/xon.2020.043
  2. Ligation and Fibrin Glue Spraying for Intractable Chylous Ascites after Radical Gastrectomy for Gastric Cancer: Case Report and Literature Review vol.88, pp.3, 2021, https://doi.org/10.1272/jnms.jnms.2021_88-310
  3. A Case Report on the Management of Intractable Chyle Leakage after Left Neck Level V Lymph Node Biopsy vol.64, pp.2, 2017, https://doi.org/10.3342/kjorl-hns.2020.00087