摘要 :
Objective: To compare post operative morbidity in cystogastrostomy and cystojejunostomyamong pancreatic pseudocyst patients.Stud design: Randomized clinical trial (RCT).Study Sett ing and duration: Study was conducted at departmen...
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Objective: To compare post operative morbidity in cystogastrostomy and cystojejunostomyamong pancreatic pseudocyst patients.Stud design: Randomized clinical trial (RCT).Study Sett ing 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 wererandomly divided into two groups using computer generated random number table on thebasis of pseudocyst location with respect to stomach. Group A patients underwent cystogastrostomy while group B underwent cystojejunostomy. Patients were followed aft er one monthfor associated morbidity in terms of recurrence, failure rate and complications. Data analysiswas done with SPSS version 24. Chi-square and fi ssure exact test was applied. P value ≤0.05was considered signifi cant.Results: Total 122 patients were included in study with 1:1 randomization. Th ere were56(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 insignifi cant diff erence in failure rate and complications of both groups wasfound (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 ofpancreatic pseudocyst in resource limited areas.
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