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. Which of the following statements about postoperative chyle leak following esophagectomy is true?
A. Prophylactic intraoperative thoracic duct ligation reduces the risk of chyle leak
B. Conservative management results in spontaneous resolution in nearly all cases within 3 weeks
C. Surgical management requires transthoracic thoracic duct ligation exclusively
D. Conservative treatment includes antibiotics and enteral nutrition only