Saeed Khan, Bakhtiar Ullah, Siddique Ahmad, Rizwan Ahmed Khan, Amir Zeb.
Comparison of cystrogastrotomy with cystojejunostomy in terms of post-operative morbidity.
Pak J Surg Jan ;36(3):242-6.

Objective: To compare post operative morbidity in cystogastrostomy and cystojejunostomy among pancreatic pseudocyst patients. Stud design: Randomized clinical trial (RCT). Study Setting and duration: Study was conducted at department of surgery, Hayatabad Medical Complex (HMC), Peshawar. Study duration was 1 years (February 2018-Febraury 2019). Material and Methods: A sample size of 122 patients was calculated using WHO calculator. Pancreatic pseudocyst patients were selected through non probability consecutive sampling. Ethical approval and consent forms were taken from all patients under study. Patients were randomly divided into two groups using computer generated random number table on the basis of pseudocyst location with respect to stomach. Group A patients underwent cystogastrostomy while group B underwent cystojejunostomy. Patients were followed after one month for associated morbidity in terms of recurrence, failure rate and complications. Data analysis was done with SPSS version 24. Chi-square and fissure exact test was applied. P value <=0.05 was considered significant. Results: Total 122 patients were included in study with 1:1 randomization. There were 56(45.9%) male and 66(54.1%) female in study. Mean age of patients was 47 years+-8.6SD. Recurrence was found to be high in cystogastrostomy as compared to cystojejnostomy (p=0.03). An insignificant difference in failure rate and complications of both groups was found (p>0.05) Conclusion: Cystogastrostomy had high morbidity rate in terms of high recurrence as compared to cystojejunostomy. However, both procedures can be used according to location of pancreatic pseudocyst in resource limited areas.

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