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Surgery General dbc5b0de

Which is not a feature of pancreatic ascites -

A
Low protein
B
Somatostatin is the drug of choice
C
Communication with pancreatic duct in 80%
D
Raised amylase levels
High-Yield Explanation
Pancreatic ascites occurs from a pancreatic duct disruption or from a leaking pseudocyst. High amylase levels are found in the ascitic fluid. Initial treatment: Non-operative (elimination of enteral feeding, institution of nasogastric drainage, and administration of somatostatin). Repeat paracentesis may also be helpful. Roughly 50% to 60% of patients can be expected to respond to this treatment with resolution of pancreatic ascites within 2 to 3 weeks. Persistent or recurrent ascites: endoscopic or surgical treatment Endoscopic pancreatic sphincterotomy with or without placement of a transpapillary pancreatic duct stent. Resection (for leaks in the pancreatic tail) or internal Roux-en-Y drainage (for leaks in the head and neck region).

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