{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T17:49:56Z","timestamp":1760982596908,"version":"build-2065373602"},"reference-count":6,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[1982,11,1]],"date-time":"1982-11-01T00:00:00Z","timestamp":404956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[1982,11]]},"abstract":"<jats:p>Lymphatic fistula is a rare surgical complication, which mainly occurs after cervical or retroperitoneal lymph node dissection and which frequently requires a surgical repair. A small series of nine postoperative lymphatic fistulas treated conservatively with total parenteral nutrition (TPN) is reported. All the patients were malnourished at the beginning of the TPN, and all exhibited an objective improvement of their nutritional status after completion of the treatment. Due to the interruption of the enteral alimentation or to the nutritional repletion, spontaneous closure of the fistula was achieved in eight of nine patients treated with TPN longer than 1 week. The authors conclude that whenever the immediate surgical repair is not recommended, or it is not successful, a 2\u2010 to 3\u2010week course of TPN may be used with the chance of spontaneous healing. In any case, patients conservatively treated by TPN can undergo a delayed operation with minimal risk because of the improved nutritional status.<\/jats:p>","DOI":"10.1177\/0148607182006006526","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:51:26Z","timestamp":1210794686000},"page":"526-527","source":"Crossref","is-referenced-by-count":30,"title":["Management of Lymphatic Fistulas by Total Parenteral Nutrition"],"prefix":"10.1002","volume":"6","author":[{"given":"F.","family":"Bozzetti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Arullani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Baticci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Terno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ammatuna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Cappello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1982,11]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"159","article-title":"Le plaies op\u00e9ratoires du canal thoracique au cou: Leur traitement","volume":"89","author":"Garnier H.","year":"1965","journal-title":"J Chir"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18005021906"},{"key":"e_1_2_1_4_1","first-page":"210","article-title":"Surgical management of lesions of thoracic duct: Technic and indications for retroperitoneal anastomosis of thoracic duct to hemiazygos vein","volume":"90","author":"Brewer LA","year":"1955","journal-title":"Am J Surg"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01072422"},{"key":"e_1_2_1_6_1","first-page":"559","article-title":"Lymph from liver and thoracic duct","volume":"85","author":"Cain JC","year":"1947","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_7_1","first-page":"712","article-title":"Parenteral hyperalimentation and wound healing","volume":"141","author":"Bozzetti F.","year":"1975","journal-title":"Surg Gynecol Obstet"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0148607182006006526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T15:57:14Z","timestamp":1760630234000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607182006006526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,11]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1982,11]]}},"alternative-id":["10.1177\/0148607182006006526"],"URL":"https:\/\/doi.org\/10.1177\/0148607182006006526","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"type":"print","value":"0148-6071"},{"type":"electronic","value":"1941-2444"}],"subject":[],"published":{"date-parts":[[1982,11]]}}}