This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Pancreas, Subject name: Surgery
When to do surgery in pancreatic ascites? 
Select and explain. 
A. Symptomatic, B. Recurrent ascites following abdominal drainage, C. Not responding to medical therapy, D. Leak from the stented duct
B: Recurrent ascites following abdominal drainage
Answer: B: Recurrent ascites following abdominal drainage 
Explanation: PANCREATIC ASCITES: MANAGEMENT Pancreatic ascites occurs from a pancreatic duct disruption or from a leaking pseudocyst. High amylase levels are found in the ascitic fluid. Initial treatment: Non operative (elimination of enteral feeding, institution of nasogastric drainage, and administration of somatostatin) Repeat paracentesis may also be helpful. Roughly 50% to 60% of patients can be expected to respond to this treatment with resolution of pancreatic ascites within 2 to 3 weeks Persistent or recurrent ascites: Endoscopic or surgical treatment Endoscopic pancreatic sphincterotomy with or without placement of a transpapillary pancreatic duct stent . Resection (for leaks in the pancreatic tail) or internal Roux-en-Y drainage (for leaks in the head and neck region)