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Conservative Management of Postsurgical Chylothorax with Octreotide

Department of Thoracic Surgery. "12 de Octubre" University Hospital Madrid, Spain

For reprint information contact: Abel A Gómez-Caro, MD Tel: 34 6 2753 6654 Fax: 34 9 1390 8267 Email: abelitov{at}yahoo.es, Department of Thoracic Surgery, "12 de Octubre" University Hospital, Andalucía Ctra KM 5.400, Madrid 28004, Spain.

Postsurgical chylothorax after lung resection has an important associated rate of morbidity and mortality, and a large proportion of cases require re-exploration. The most desirable and least aggressive option is conservative treatment. The use of octreotide seems to be associated with a higher rate of resolution without the need for surgical intervention. We present 4 cases in which this drug showed excellent efficacy and minimal adverse effects in the resolution of postsurgical chylothorax.