This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Duodenal blow out which is done \nSelect and explain. \nA. Transcutaneous peritoneal drainage, B. Secondary closure, C. Re-exploration, D. None', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Answer- A. Transcutaneous peritoneal drainageDuodenal blow out is massive leakage from duodenal stump following Bilroth II gastrectomy.Clinical featuresIt usually occurs on 2nd to 7th postoperative days.It usually presents as: -Sudden intense thoracoabdominal painSudden elevation in pulse and temperatureGeneral deterioration of conditionTreatment-Total parenteral nutritionFistula closure can be anticipated within 2-3 weeks.Adequate drainage', 'role': 'assistant'}]