<prompt> Major complication of cyst-gastrostomy for pseudo pancreatic cyst is?InfectionObstructionFistulaHemorrhage  <response>: Ans. d HemorrhageRef : CSDTUthed638 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 