van der Gaag et al proposed criteria for chylous ascites that develops after a pancreaticoduodenectomy. The authors are from University of Amsterdam in The Netherlands.


Features of chylous ascites - all of the following:

(1) abdominal fluid with both of the following:

(1a) a milky color

(1b) a triglyceride level > 1.2 mmol/L

(2) volume >= 275 mL per day

(3) absence of an anastomotic leak


The term "chylous effusion" was used if the volume was < 275 mL per day.


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