Chyloperitoneum and Chylothorax Following Bariatric Surgery: a Systematic Review

Obes Surg. 2022 Aug;32(8):2764-2771. doi: 10.1007/s11695-022-06136-3. Epub 2022 Jun 8.

Abstract

Chyloperitoneum and chylothorax (ChP/ChT) are rare complications after bariatric surgery. This systematic review aims to evaluate the incidence, cause, treatment, and outcome of ChP and ChT after bariatric surgery. This review investigates published English language scientific literature systematically in an attempt to answer these questions. Our literature search revealed 66 studies, of which 23 were included. There were a total of 40 patients (38, ChP; 2, ChT). Eighteen of 40 (43.9%) patients were treated laparoscopically, and one patient (2.44%) underwent thoracoscopy and ligation of the thoracic duct. Both ChP and ChT are rare complications after bariatric surgery.

Keywords: Bariatric surgery; Chyloperitoneum; Chylothorax; Complications; Gastric bypass; Sleeve gastrectomy.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Bariatric Surgery* / adverse effects
  • Chylothorax* / etiology
  • Chylothorax* / surgery
  • Chylous Ascites* / complications
  • Chylous Ascites* / therapy
  • Gastrectomy / adverse effects
  • Gastric Bypass* / adverse effects
  • Humans
  • Laparoscopy* / adverse effects
  • Ligation / adverse effects
  • Obesity, Morbid* / surgery
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Retrospective Studies
  • Treatment Outcome