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': 'Which is not a feature of pancreatic ascites - \nSelect and explain. \nA. Low protein, B. Somatostatin is the drug of choice, C. Communication with pancreatic duct in 80%, D. Raised amylase levels', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Pancreatic ascites occurs from a pancreatic duct disruption or from a leaking pseudocyst.\nHigh amylase levels are found in the ascitic fluid.\nInitial treatment: Non-operative (elimination of enteral feeding, institution of nasogastric drainage, and administration of somatostatin).\nRepeat paracentesis may also be helpful.\nRoughly 50% to 60% of patients can be expected to respond to this treatment with resolution of pancreatic ascites within 2 to 3 weeks.\n\nPersistent or recurrent ascites: endoscopic or surgical treatment\n\nEndoscopic pancreatic sphincterotomy with or without placement of a transpapillary pancreatic duct stent.\nResection (for leaks in the pancreatic tail) or internal Roux-en-Y drainage (for leaks in the head and neck region).', 'role': 'assistant'}]