Question 2814
{"accessible":false,"alternatives":[{"id":13735,"text":"chest radiograph"},{"id":13736,"text":"CT with oral contrast"},{"id":13737,"text":"endoscopy"},{"id":13738,"text":"fluoroscopy"},{"id":13739,"text":"serial pleural amylase"}],"archived":false,"correctAlternativeId":13739,"explanation":"\u003cp\u003eSerial pleural amylase level from an existing chest drain carries no risks, is accurate and is the least expensive option in the assessment of anastomotic leak post-esophagectomy. However, there is no consensus on diagnostic level, and it provides no cross-sectional or functional assessment of the conduit. Plain chest radiograph plays no role in the assessment of anastomotic leak, but can be a useful modality in the assessment of post-esophagectomy pulmonary complications such as pneumonia / aspiration, ARDS, pulmonary edema, pleural effusion and pneumothorax.\u003c/p\u003e","id":2814,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2814","nextQuestionPath":"/articles/oesophagectomy/questions/2813","relatedArticles":[],"alsoUsedIn":[{"id":1730,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1730","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1730"},{"id":365,"kind":"LiveSchedule","title":"365","link":"https://radiopaedia.org/admin/live_schedules/365"},{"id":287,"kind":"LiveSchedule","title":"287","link":"https://radiopaedia.org/admin/live_schedules/287"},{"id":1487,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1487","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1487"},{"id":1487,"kind":"Course","title":"Abdominal Lectures - page 1487","link":"https://radiopaedia.org/courses/abdominal-lectures/pages/1487"},{"id":1906,"kind":"Course","title":"Radiopaedia 2024 - Virtual Conference - page 1906","link":"https://radiopaedia.org/courses/radiopaedia-2024-virtual-conference/pages/1906"},{"id":1906,"kind":"Course","title":"2024 Virtual Conference Private Use - page 1906","link":"https://radiopaedia.org/courses/2024-virtual-conference-private-use/pages/1906"}],"stem":"\u003cp\u003eIn the assessment of post-esophagectomy anastomotic leak, which diagnostic investigation carries the least risk?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2814"}],"attemptsPercentages":[{"alternativeId":"13735","percentage":14},{"alternativeId":"13736","percentage":10},{"alternativeId":"13737","percentage":4},{"alternativeId":"13739","percentage":64},{"alternativeId":"13738","percentage":7}],"promptToLogin":false,"questionManager":false,"articleId":"esophagectomy"}