{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T17:36:17Z","timestamp":1791048977210,"version":"4.1.0"},"reference-count":19,"publisher":"Termedia Sp. z.o.o.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol J Radiol"],"abstract":"Purpose<\/jats:title>Chylous leakage is a serious and challenging postoperative complication. The purpose of this study was to explore the application of ultrasound-guided intranodal lymphangiography in the diagnosis and treatment of chylous ascites following abdominal surgery.<\/jats:p><\/jats:sec>Material and methods<\/jats:title>Ten patients with chylous ascites after abdominal surgery after ineffective conservative treatment such as low-fat diet, parenteral nutrition, and negative pressure drainage were included in this single-center retro\u00adspective study. Of these 10 patients, 9 developed chylous ascites after liver surgery, and 1 after a radical gastrectomy.<\/jats:p><\/jats:sec>Results<\/jats:title>Lymphangiography was successfully performed in all 10 patients. The average dosage of lipiodol used was 4.5 ml (range 3.5-7.0 ml). No procedure-related complications were observed after excluding unrelated factors. During lymphangiography, lipiodol leakage was directly observed in 3 cases, and in the other 5 cases, it was detected through abdominal computed tomography post-lymphangiography. Chylous ascites resolved solely through lymphangiography in 6 patients without requiring additional surgical intervention.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Lymphangiography may help identify leakage sites in patients with chylous ascites unresponsive to conservative treatment and could potentially be effective in treating chylous ascites following abdominal surgery.<\/jats:p><\/jats:sec>","DOI":"10.5114\/pjr\/193577","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T07:26:14Z","timestamp":1729581974000},"page":"502-507","source":"Crossref","is-referenced-by-count":1,"title":["Application of ultrasound-guided intranodal lymphangiography in the diagnosis and treatment of chylous ascites after abdominal surgery"],"prefix":"10.5114","volume":"89","author":[{"given":"Juncheng","family":"Wan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caihong","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changyu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongjie","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuoyang","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaoqiao","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1222-3036","authenticated-orcid":true,"given":"Xudong","family":"Qu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3061","published-online":{"date-parts":[[2024,10,18]]},"reference":[{"key":"ref-1276070","doi-asserted-by":"crossref","unstructured":"Hamaguchi S, Michigami Y, Inoue M, Tsukamoto K, Wada S, Ogawa Y. Successful treatment of chylous ascites by superselective embolization of the inflowing lymphatic vessels using a steer-able microcatheter: a case study. Radiol Case Rep 2022; 17: 3205-3208.","DOI":"10.1016\/j.radcr.2022.06.011"},{"key":"ref-1276071","doi-asserted-by":"crossref","unstructured":"Toliyat M, Singh K, Sibley RC, Chamarthy M, Kalva SP, Pillai AK. Interventional radiology in the management of thoracic duct injuries: anatomy, techniques and results. Clin Imaging 2017; 42: 183-192.","DOI":"10.1016\/j.clinimag.2016.12.012"},{"key":"ref-1276072","doi-asserted-by":"crossref","unstructured":"Yamagami T, Masunami T, Kato T, Tanaka O, Hirota T, Nomoto T, et al. Spontaneous healing of chyle leakage after lymphangiography. Br J Radiol 2005; 78: 854-857.","DOI":"10.1259\/bjr\/61177542"},{"key":"ref-1276073","doi-asserted-by":"crossref","unstructured":"Rajebi MR, Chaudry G, Padua HM, Dillon B, Yilmaz S, Arnold RW, et al. Intranodal lymphangiography: feasibility and preliminary experience in children. J Vasc Interv Radiol 2011; 22: 1300-1305.","DOI":"10.1016\/j.jvir.2011.05.003"},{"key":"ref-1276074","doi-asserted-by":"crossref","unstructured":"Nadolski GJ, Itkin M. Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization. J Vasc Interv Radiol JVIR 2012; 23: 613-616.","DOI":"10.1016\/j.jvir.2012.01.078"},{"key":"ref-1276075","doi-asserted-by":"crossref","unstructured":"Alejandre-Lafont E, Krompiec C, Rau WS, Krombach GA. Effectiveness of therapeutic lymphography on lymphatic leakage. Acta Radiol 2011; 52: 305-311.","DOI":"10.1258\/ar.2010.090356"},{"key":"ref-1276076","doi-asserted-by":"crossref","unstructured":"Matsumoto T, Yamagami T, Kato T, Hirota T, Yoshimatsu R, Masunami T, et al. The effectiveness of lymphangiography as a treatment method for various chyle leakages. Br J Radiol 2009; 82: 286-290.","DOI":"10.1259\/bjr\/64849421"},{"key":"ref-1276077","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doab001"},{"key":"ref-1276078","doi-asserted-by":"crossref","unstructured":"Ikomi F, Kawai Y, Ohhashi T. Recent advance in lymph dynamic analysis in lymphatics and lymph nodes. Ann Vasc Dis 2012; 5: 258-268.","DOI":"10.3400\/avd.ra.12.00046"},{"key":"ref-1276079","doi-asserted-by":"crossref","unstructured":"Bhardwaj R, Vaziri H, Gautam A, Ballesteros E, Karimeddini D, Wu GY. Chylous ascites: a review of pathogenesis, diagnosis and treatment. J Clin Transl Hepatol 2018; 6: 105-113.","DOI":"10.14218\/JCTH.2017.00035"},{"key":"ref-1276080","doi-asserted-by":"crossref","unstructured":"Lizaola B, Bonder A, Trivedi HD, Tapper EB, Cardenas A. Review article: the diagnostic approach and current management of chylous ascites. Aliment Pharmacol Ther 2017; 46: 816-824.","DOI":"10.1111\/apt.14284"},{"key":"ref-1276081","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2023.1128864"},{"key":"ref-1276082","doi-asserted-by":"crossref","unstructured":"Matsuura T, Yanagi Y, Hayashida M, Takahashi Y, Yoshimaru K, Taguchi T. The incidence of chylous ascites after liver transplantation and the proposal of a diagnostic and management protocol. J Pediatr Surg 2018; 53: 671-675.","DOI":"10.1016\/j.jpedsurg.2017.06.004"},{"key":"ref-1276083","doi-asserted-by":"crossref","unstructured":"Kaas R, Rustman LD, Zoetmulder FA. Chylous ascites after oncological abdominal surgery: incidence and treatment. Eur J Surg Oncol 2001; 27: 187-189.","DOI":"10.1053\/ejso.2000.1088"},{"key":"ref-1276084","doi-asserted-by":"crossref","unstructured":"Kortes N, Radeleff B, Sommer CM, Bellemann N, Ott K, Richter GM, et al. Therapeutic lymphangiography and CT-guided sclerotherapy for the treatment of refractory lymphatic leakage. 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A novel approach to recalcitrant postoperative chylous ascites in liver re-transplantation: a case report. 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