This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Stomach & Duodenum, Subject name: Surgery
[{'content': 'Duodenal blow out is usually seen at which day of the post operative period? \nSelect and explain. \nA. 4th, B. 11th, C. 2nd, D. 7th', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans: a (4th day)Duodenal blow out usually occurs between 2-7 days of surgery, more specifically on the 4th.It presents as abdominal pain, tachycardia, worsening of the general condition of the patient.It usually occurs after Billroth -II gastrectomyManagement:Total parenteral nutrution is given, catheter is placed immediately below the right costal margin and the electrolytes are replenished.Billroth I:Billroth IILower half of the stomach removed and is anastomosed to the Ist part of duodenum2/3rd of the stomach is removed; duodenal stump is closed and stomach is anastomosed to the jejunum.', 'role': 'assistant'}]