Chylous ascites in colorectal surgery: A systematic review

Table 4 A summary of the different non-operative management employed for management of chylous ascites after colorectal surgery

No.	Initial management	Number of cases	Successful	Surgery	Ref.
1	No treatment (“Healed spontaneously”)	53	Yes	No	[1,10,24]
2	Fasting only	14	Yes	No	[1,2]
3	Fasting + TPN	1	Yes	No	[32]
4	Fasting + TPN + Octreotide/somatostatin	103	Yes	No	[21,25,34-36]
5	Failed (fasting + TPN + somatostatin) + surgery	1	No	Yes	[35]
6	Octreotide	1	Yes	No	[13]
6	MCT only	9	Yes	No	[1,13]
7	MCT + TPN/fasting	1	Yes	No	[23]
8	Fat-free diet only	1	Yes	No	[31]
9	Low fat diet only	5	Yes	No	[24,28,32]
10	Low fat diet + somatostatin	1	Yes	No	[27]
11	Low fat diet + MCT + Fasting/TPN/somatostatin	1	No	Yes	[26]
12	No treatment-discharged homeParacentesis + fasting/TPN + low fat dietParacentesis + TPN + somatostatinMCT	1	No	Yes	[29]
13	“Conservative therapy” only	160	Yes	No	[6,17]
14	Failed “Conservative therapy” + surgery	1	No	Yes	[33]
15	Not available	72	N/A	N/A	[9,12-16,19,20,30]

TPN: Total parenteral nutrition; MCT: Medium chain triglyceride; N/A: Not applicable.