This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Anatomy
A post-op pt. presents with peritonitis and massive contamination because of duodenal leak. Management of choice is - 
Select and explain. 
A. Four quadrant peritoneal lavage, B. Total parenteral nutrition, C. Duodenojejunostomy, D. Duodenostomy + feeding jejunostomy
B: Total parenteral nutrition
Answer: B: Total parenteral nutrition 
Explanation: Duodenal leakage occurs through the stump that is left after operations for duodenal ulcer and gastric ulcer. Treatment (1) Adequate drainage - It is achieved by inseion of large stump catheter through subcostal incision. This catheter is passed down to the Duodenal Stump area and a constant suction is applied. (2) Total parenteral nutrition - Should be instituted and attention must be directed towards fluid and electrolyte therapy. This will lead to healing of fistula within 2-3 weeks.. Ref : Schwaz, 7th/e, p 468