Various approaches to management of chyle leakage
| Category | Concepts | Methods |
|---|---|---|
| Conservative approach | Reduced amount of chyle | Low-fat diet, medium-chained triglycerides, total parenteral nutrition via central venous line, correction of electrolyte |
| Reduced production and flow of chyle | Octreotide Somatostatin Pancreatic lipase inhibitor |
|
| Local tamponade | Compression dressing in the supraclavicular fossa. Injection of sclerosing agent | |
| Surgical approach | Local tamponade | Oversew and reinforce suture at leakage area, myofascial local flap, application of fibrin glue, HistoacrylⓇ, NeoveilⓇ. |
| Thoracic duct blockage in the cervical area | Thoracic duct ligation | |
| Thoracic duct blockage in the thoracic area | Thoracic duct ligation via video-assisted thoracoscopic surgery | |
| Radiologic approach | Thoracic duct blockage in the thoracic area | Percutaneous thoracic duct embolization |