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Surgery Miscellaneous (Pancreas) c42ec373

Major complication of cyst-gastrostomy for pseudo pancreatic cyst is?

A
Infection
B
Obstruction
C
Fistula
D
Hemorrhage
High-Yield Explanation
Ans. (d) HemorrhageRef : CSDTUthed/638* Serious post-op hemorrhage from cyst occurs from cystogastrostomy.* Most common cause of pseudopancreatic cyst is pancreatitis.* It may resolve spontaneously, so it is followed with serial ultrasonic studies.Indications of Surgical Intervention* Age of cyst more than 6 weeks without resolution* Size of cyst greater than 6 cm* Evidence of secondary infection* Development of any other complicationsSurgical Methods* Internal drainage - most preferred surgical management* There are three options:# Cysto-Jejunostomy# Cysto-gastrostomy# Cysto-Duodenostomy* Excision of pseudocyst* External drainage

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