{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T21:16:56Z","timestamp":1793222216836,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,10,1]],"date-time":"2008-10-01T00:00:00Z","timestamp":1222819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:p>Lymphatic injury leading to leakage of chyle is a potential complication that may arise from trauma or surgery in the chest, abdomen, or neck. Although the incidence of chyle leak post surgery is low (1%\u20104%), this complication can present significant challenges. Multiple approaches to the treatment of chyle leak have emerged, including nutrition, surgical, and pharmacological therapies. Although there are strong feelings among clinicians about the use of bowel rest, parenteral nutrition, or a low\u2010fat enteral formula for the treatment of chyle leak, definitive evidence supporting one nutrition therapy over another does not exist. The lack of a clear consensus on the optimal management of chyle leaks makes this an area that is ripe for prospective analysis.<\/jats:p>","DOI":"10.1177\/0884533608323424","type":"journal-article","created":{"date-parts":[[2008,10,10]],"date-time":"2008-10-10T17:32:39Z","timestamp":1223659959000},"page":"529-532","source":"Crossref","is-referenced-by-count":81,"title":["Chyle Leaks: Consensus on Management?"],"prefix":"10.1002","volume":"23","author":[{"given":"Addy","family":"Smoke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark H.","family":"DeLegge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(98)00230-9"},{"key":"e_1_2_7_3_1","first-page":"481","volume-title":"The Science and Practice of Nutrition Support","author":"Spain DA","year":"2001"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900413"},{"key":"e_1_2_7_5_1","first-page":"116","article-title":"Postoperative chylothorax in patients with a thoracic aortic aneurysm","volume":"12","author":"Minami H","year":"2006","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70140-9"},{"key":"e_1_2_7_7_1","first-page":"60","article-title":"When chyle leaks: nutrition management options","volume":"28","author":"Parrish CR","year":"2004","journal-title":"Pract Gastroenterol"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100118171"},{"key":"e_1_2_7_9_1","first-page":"720","article-title":"Aggressive treatment of chylothorax complicating transhiatal esophagectomy without thoracotomy","volume":"104","author":"Orringer MB","year":"1988","journal-title":"Surgery"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780521"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(89)90650-1"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.95229"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00819.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)81195-X"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.116.3.682"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000108324"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607186010005519"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199607\/08)18:4<347::AID-HED6>3.0.CO;2-Y"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(91)90325-N"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcp.0000230629.73139.26"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02858.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199007000-00014"},{"key":"e_1_2_7_23_1","first-page":"537","article-title":"Management of chylothorax after pulmonary resection","volume":"180","author":"Haniuda M","year":"1995","journal-title":"J Am Coll Surg"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0884533608323424","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0884533608323424","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0884533608323424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:37:38Z","timestamp":1760956658000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533608323424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,10]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,10]]}},"alternative-id":["10.1177\/0884533608323424"],"URL":"https:\/\/doi.org\/10.1177\/0884533608323424","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,10]]}}}