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Cystogastrostomy is a surgical procedure that involves creating a connection between a pancreatic pseudocyst and the stomach to allow for drainage of the cyst's contents into the stomach. Pancreatic pseudocysts are fluid-filled sacs that develop as a result of acute or chronic pancreatitis, trauma, or obstruction in the pancreatic ducts. The goal of cystogastrostomy is to alleviate symptoms caused by the pseudocyst, such as abdominal pain, nausea, vomiting, or infection, by allowing the cyst to drain naturally into the stomach, where the contents are then digested and removed by the body. The main cause for performing cystogastrostomy is the presence of a symptomatic or infected pancreatic pseudocyst that is large or causing complications. This procedure is typically considered when the cyst does not resolve on its own, continues to grow, or presents a risk of rupture or infection. Complications from cystogastrostomy can include infection, bleeding, or injury to surrounding organs like the stomach or pancreas. There is also a risk of leakage of cyst contents into the abdominal cavity, leading to peritonitis, an inflammatory condition of the abdominal lining. Additionally, the cyst may recur if the drainage is incomplete, or the pseudocyst may become blocked, requiring further intervention. Long-term complications might include scarring at the surgical site or digestive disturbances. Despite these risks, cystogastrostomy is considered an effective and minimally invasive treatment for managing problematic pancreatic pseudocysts, providing relief from symptoms and preventing further complications.