Chyle (/kaɪl/; from the Greek word χυλός chylos, "juice") is a milky bodily fluid consisting of lymph and emulsified fats, or free fatty acids (FFAs). It is formed in the small intestine during digestion of fatty foods, and taken up by lymph vessels specifically known as lacteals. The lipids in the chyle are colloidally suspended in chylomicrons.
A chyle fistula is a leakage of lymphatic fluid from the lymphatic vessels, typically accumulating in the thoracic or abdominal cavities, possibly leading to a chylothorax or chylous ascites, respectively.
Treatment of a chyle fistula relies on ligation of the duct. This is because direct repair is impractical owing to the extreme friability of the thoracic duct.
An alternative treatment is the subcutaneous use of the drug octreotide (a synthetic analogue of somatostatin). This can lead to complete resolution of production of chyle, and avoids the need for surgery.
Waking up from the shock, still dying from the night before
So mad I can't speak, but I keep coming back for more
Did you see me there (looking back at you), did you even care?
All the things you said to me, every lie that I believed
I can't erase the memory, I remember
Cut so deep I can't forget, loving you is my regret
I thought that I was over it, but I remember (I remember)
I wanna shut it all out, I wish that this was all a dream (a distant memory)
I try so hard to forget but it keeps coming back to me (it's coming back to me)
I should leave I know (but I keep looking back) but I can't let go
All the things you said to me, every lie that I believed
I can't erase the memory, I remember
Cut so deep I can't forget, loving you is my regret
I thought that I was over it, but I remember (I remember)
I should've known you'd take it all away, shoulda known you'd break my heart again
I should just forget it all but I remember
All the things you said to me, every lie that I believed
I can't erase the memory, I remember
Cut so deep I can't forget, loving you is my regret