ABSTRACT

Objective: The aim of this study is to compare the post- operative morbidity in cystogastrostomy and cystojejunostomy among pancreatic pseudocyst patients. Study Design: Randomized clinical trial Place and Duration:It was amulti centers studyand conducted at Surgical Department KuwaitTeaching hospital Peshawar, Bakhtawar Amin Medical & Dental College, Multan and Surgical UnitDHQ/MMMT hospital DI Khan. Study was conducted for duration of six months from 1st January to June 30th, 2018. Methods: Total 140 patients of both genders were presented in this study. Patients were aged between 20-60 years of age. Patients detailed demographics were recorded after taking informed written consent. Patients were divided into two groups, group I had 70 patients and received cystogastrostomy while group II received cystojejunostomy with equal number of patients. Follow up was taken among pancreatic pseudocyst patients in duration of 3weeks to compare morbidity (recurrence, failure and complication. Complete data was analyzed by SPSS 22.0 version. Results: Total 66 (47.14%) patients were males (33 in each group) and 74 (52.86%) patients were females (37 in each group). Mean age of the patients in group I was 45.08±8.21 years with mean BMI 26.14±4.14 kg/m2 and in group II mean age was 46.14±6.17 years with mean BMI 25.41±4.15 kg/m2. Frequency of recurrence was high among patients of group I 28 (40%) as compared to group II 12 (17.14%) with p value (0.04). Failure rate was 8 (11.43%) in group I and in group II was 4 (5.71%). Frequency of complication was also observed higher in cystogastrostomy group as compared to cystojejunostomy group. Conclusion: We concluded in this study that post-operative morbidity such as frequency of recurrence was higher among patients of cystogastrostomy as compared to cystojejunostomy. Keywords: Morbidity, cystogastrostomy, cystojejunostomy, pancreatic pseudocyst