{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T05:07:44Z","timestamp":1763183264278,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T00:00:00Z","timestamp":1717027200000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Chylous ascites is an uncommon pathology with low incidence following hepato-pancreato-biliary surgery, there are no cases reported in the international literature following the associating liver partition and portal vein ligation for stage hepatectomy (ALPPS) procedure. It is caused by abnormal intraperitoneal accumulation of lymph fluid in the abdominal cavity secondary to obstruction or injury to the chyle cistern or its tributaries. We describe the case of a 49-year-old woman diagnosed with colon cancer and liver metastasis. ALPPS was performed, on a first and second stage, presenting a high drainage output as well as change in the characteristics of the drainage fluid. The diagnosis of chylous ascites was confirmed by finding triglyceride levels in the drainage fluid at 300\u00a0mg\/dL. Medical treatment was started based on a hyper-protein diet and fat restriction, supplemented with medium-chain triglycerides and somatostatin analog, with fistula resolution. It can be managed with medical treatment.<\/jats:p>","DOI":"10.1093\/jscr\/rjae357","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T18:02:03Z","timestamp":1717092123000},"source":"Crossref","is-referenced-by-count":1,"title":["Chylous ascites after associating liver partition and portal vein ligation for stage hepatectomy (ALPPS): overview and case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"Luz Estefan\u00eda Gonz\u00e1lez","family":"Gallegos","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Universidad Nacional Aut\u00f3noma de M\u00e9xico , C.P. 04510, M\u00e9xico City , M\u00e9xico"},{"name":"General Surgery Department, Hepatopancreatobiliary Surgery, Hospital General de M\u00e9xico \u201cDr. Eduardo Liceaga\u201d , C.P. 06726, M\u00e9xico City , M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2286-0015","authenticated-orcid":false,"given":"Carlos Alberto C\u00f3rdova","family":"Vel\u00e1zquez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Universidad Nacional Aut\u00f3noma de M\u00e9xico , C.P. 04510, M\u00e9xico City , M\u00e9xico"},{"name":"General Surgery Department, Hepatopancreatobiliary Surgery, Hospital General de M\u00e9xico \u201cDr. Eduardo Liceaga\u201d , C.P. 06726, M\u00e9xico City , M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar Chapa","family":"Azuela","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hepatopancreatobiliary Surgery, Hospital General de M\u00e9xico \u201cDr. Eduardo Liceaga\u201d , C.P. 06726, M\u00e9xico City , M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irving Hugo Aguilar","family":"Preciado","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hepatopancreatobiliary Surgery, Hospital General de M\u00e9xico \u201cDr. Eduardo Liceaga\u201d , C.P. 06726, M\u00e9xico City , M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen Judith Roca","family":"V\u00e1squez","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hepatopancreatobiliary Surgery, Hospital General de M\u00e9xico \u201cDr. Eduardo Liceaga\u201d , C.P. 06726, M\u00e9xico City , M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Alberto Roldan","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hepatopancreatobiliary Surgery, Hospital General de M\u00e9xico \u201cDr. Eduardo Liceaga\u201d , C.P. 06726, M\u00e9xico City , M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"key":"2024053011525401400_ref1","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1097\/00007632-199403001-00012","article-title":"Management of retroperitoneal chylous leakage","volume":"19","author":"DeHart","year":"1994","journal-title":"Spine (Phila Pa 1976)"},{"key":"2024053011525401400_ref2","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int J Surg"},{"key":"2024053011525401400_ref3","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1001\/archsurg.1937.01190120075005","article-title":"Experimental studies on lymphatic blockage","volume":"34","author":"Blalock","year":"1937","journal-title":"Arch Surg"},{"key":"2024053011525401400_ref4","doi-asserted-by":"crossref","first-page":"367","DOI":"10.6002\/ect.2012.0203","article-title":"Chylous ascites after liver transplant: case report and review of literature","volume":"11","author":"Mukerji","year":"2013","journal-title":"Exp Clin Transplant"},{"key":"2024053011525401400_ref5","doi-asserted-by":"crossref","first-page":"253","DOI":"10.4067\/s2452-45492019000300253","article-title":"Ascitis quilosa tras colecistectom\u00eda. 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