Abstract
We report a case where octreotide was effectively used for a patient with chyle fistula after neck dissection. Chyle fistula after neck dissection is relatively rare, and is often difficult to treat. If conservative treatment is not successful, surgical treatment is necessary. In this case, because of the sepsis caused by surgical site infection and the patient's very bad condition due to the fistula, surgery for the chyle fistula was judged to be impossible. We began to administer octreotide on day 24 after neck dissection. On the 11th day after starting octreotide, drainage of the fistula improved. Octreotide is somatostatine analogs. Somatostatin is a peptide hormone with the effect of inhibiting gastrointestinal peristalsis and secretion of the gastrointestinal hormone. We can determine whether octerotide is effective or ineffective in a short time. Because of few side effects, octreotide is very suitable for patients in poor condition. Our experience convinces us that octreotide is an extremely effective treatment for chyle fistula.
