{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:49:28Z","timestamp":1777884568807,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2008,10,1]],"date-time":"2008-10-01T00:00:00Z","timestamp":1222819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2008,10,1]]},"abstract":"<jats:p>Chyloperitoneum is an uncommon but serious complication following abdominal aortic surgery. As there seems to be no uniformity concerning the treatment, we performed a literature search to evaluate the best treatment results. All Medline-cited articles on chyloperitoneum after abdominal aortic surgery were assessed and analyzed. Thirty-eight cases of chyloperitoneum following abdominal aortic surgery were found. Patients developed symptoms after a median of 16 days (range 2\u2013120 days) and were asymptomatic after 68 days (mean, range 27\u201393 years). All patients underwent diagnostic paracentesis, which confirmed the diagnosis. In 26 cases (68%), paracentesis was part of the treatment. The use of diuretics (24%) as therapeutic value was abandoned. Total parenteral nutrition, used in 21 patients (55%), provides the possibility of an extended period of oral starvation that reduces the lymphatic flow from the leaking duct. Medium-chain triglyceride, used in 28 cases (76%), is generally accepted as reducing lymphatic flow. When all conservative measures fail, surgical exploration is indicated. Two surgical interventions were mentioned: placing a peritoneovenous shunt or transfixing the damaged lymph vessel; both were described with different outcomes. This review supports conservative treatment of chyloperitoneum following abdominal aortic surgery.<\/jats:p>","DOI":"10.2310\/6670.2008.00035","type":"journal-article","created":{"date-parts":[[2011,5,24]],"date-time":"2011-05-24T07:52:25Z","timestamp":1306223545000},"page":"258-262","source":"Crossref","is-referenced-by-count":14,"title":["Chyloperitoneum Following Abdominal Aortic Surgery"],"prefix":"10.1177","volume":"16","author":[{"given":"Emilie","family":"Olthof","sequence":"first","affiliation":[{"name":"*Department of Surgery, Spaarne Hospital, Hoofddorp, the Netherlands; \u2020Department of Vascular Surgery, Radboud University Medical Centre Nijmegen, Nijmegen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan D.","family":"Blankensteijn","sequence":"additional","affiliation":[{"name":"*Department of Surgery, Spaarne Hospital, Hoofddorp, the Netherlands; \u2020Department of Vascular Surgery, Radboud University Medical Centre Nijmegen, Nijmegen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George J.M.","family":"Akkersdijk","sequence":"additional","affiliation":[{"name":"*Department of Surgery, Spaarne Hospital, Hoofddorp, the Netherlands; \u2020Department of Vascular Surgery, Radboud University Medical Centre Nijmegen, Nijmegen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,10,1]]},"reference":[{"key":"bibr-bib1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05911.x"},{"key":"bibr-bib2","first-page":"26","volume":"33","author":"Panieri E","year":"1995","journal-title":"S Afr J Surg"},{"key":"bibr-bib3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)81055-4"},{"key":"bibr-bib4","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526.32.4.215"},{"key":"bibr-bib5","first-page":"1513","volume":"147","author":"Develing L","year":"2003","journal-title":"Ned Tijdschr Geneeskd"},{"key":"bibr-bib6","doi-asserted-by":"publisher","DOI":"10.1007\/s100169910030"},{"key":"bibr-bib7","doi-asserted-by":"publisher","DOI":"10.1136\/adc.85.3.234"},{"key":"bibr-bib8","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2005.04.003"},{"key":"bibr-bib9","doi-asserted-by":"publisher","DOI":"10.1007\/s001340051190"},{"key":"bibr-bib10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc052422"},{"key":"bibr-bib11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMicm040707"},{"key":"bibr-bib12","first-page":"377","volume":"24","author":"Halloul Z","year":"1995","journal-title":"Vasa"},{"key":"bibr-bib13","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(98)80015-4"},{"key":"bibr-bib14","first-page":"244","volume":"17","author":"Haug ES","year":"1998","journal-title":"Int Angiol"},{"key":"bibr-bib15","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)69064-5"},{"key":"bibr-bib16","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(99)70097-1"},{"key":"bibr-bib17","first-page":"499","volume":"39","author":"Petrasek AJ","year":"1996","journal-title":"Can J Surg"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2310\/6670.2008.00035","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.2310\/6670.2008.00035","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2310\/6670.2008.00035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T02:29:54Z","timestamp":1777602594000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.2310\/6670.2008.00035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,10,1]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,10,1]]}},"alternative-id":["10.2310\/6670.2008.00035"],"URL":"https:\/\/doi.org\/10.2310\/6670.2008.00035","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,10,1]]}}}