Q) Grading of Chyle leak after esophagectomy , 1500 ml responding to TPN :
( Esophagus )
1) IIB
2) IIIA
3) IA
4) IB
Chyle leak
Chylous Ascites
Q) Which of the following is least likey mechanism of formation of chylous ascites
a) Obstruction of existing lymphatics with exudation of chyle
b) Chyle leak from lymph vessels due to injured retroperitoneal vessels
c) Mega lymphatics exudation which are present in the wall of retroperitoneum
d) Recurrent chronic pancreatitis
Post op chyle leak
Q 27 Postoperative chyle leak following esophagectomy which is true?
A. Intraoperative prophylactic ligation of thoracic duct reduce leak risks
B. Conservative management - almost all heal by 3 weeks
C. Transthoracic ligation only
D. Conservative treatment includes antibiotics, enteral nutrition only