Our own experience with Endoscopic cystogastrostomy for pancreatic pseudocyst has not been exciting. We have done few cases with satisfactory immediate result but resulting in blocked plastic stents within 2-3 weeks. At our centre we opt for Nasojejunal (enteral)feeds in all cases of acute pancreatitis followed by surgical cystogastrostomy if needed. The cases of pancreatic pseuodocyst drainage which we have done have been through the stomach wall and we have used upto 3 plastic stents of 10 Fr each size to try and keep the opening from blocking.
Cystogastrostomy
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