Liu YL, Liu J, Jiang WJ, Zhang KG, Wang YT. Ultrasound-guided endoscopic drainage for the management of pancreatic pseudocysts: A case report. World J Gastrointest Surg 2025; 17(5): 106784 [PMID: 40502513 DOI: 10.4240/wjgs.v17.i5.106784]
Corresponding Author of This Article
Ye-Tao Wang, Associate Chief Physician, Department of Gastroenterology, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, No. 17 Lujiang Road, Hefei 230001, Anhui Province, China. wangyt96@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
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Liu YL, Liu J, Jiang WJ, Zhang KG, Wang YT. Ultrasound-guided endoscopic drainage for the management of pancreatic pseudocysts: A case report. World J Gastrointest Surg 2025; 17(5): 106784 [PMID: 40502513 DOI: 10.4240/wjgs.v17.i5.106784]
World J Gastrointest Surg. May 27, 2025; 17(5): 106784 Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.106784
Ultrasound-guided endoscopic drainage for the management of pancreatic pseudocysts: A case report
Ying-Ling Liu, Jie Liu, Wen-Jun Jiang, Kai-Guang Zhang, Ye-Tao Wang
Ying-Ling Liu, Jie Liu, Wen-Jun Jiang, Kai-Guang Zhang, Ye-Tao Wang, Department of Gastroenterology, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, Anhui Province, China
Co-first authors: Ying-Ling Liu and Jie Liu.
Co-corresponding authors: Kai-Guang Zhang and Ye-Tao Wang.
Author contributions: Wang YT and Zhang KG contributed to conceptualization, data curation, formal analysis, investigation, and methodology, and contributed equally as co-corresponding authors; Liu YL, Liu J, and Wenjun Jiang WJ contributed to data curation and formal analysis; Liu YL and Liu J contributed equally as co-first authors; Wang YT contributed to supervision, visualization, review and editing.
Supported by Research Project of the Chinese Digestive Early Cancer Physicians’ Joint Growth Program, No. GTCZ-2021-AH-34-0012.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Ye-Tao Wang, Associate Chief Physician, Department of Gastroenterology, The First Affiliated Hospital of University of Science and Technology of China, Division of Life Sciences and Medicine, University of Science and Technology of China, No. 17 Lujiang Road, Hefei 230001, Anhui Province, China. wangyt96@163.com
Received: March 7, 2025 Revised: March 21, 2025 Accepted: April 15, 2025 Published online: May 27, 2025 Processing time: 77 Days and 20.1 Hours
Abstract
BACKGROUND
The treatment strategy for pancreatic pseudocysts (PPC) is comprehensive and warrants multidisciplinary participation. However, at present, the treatment concepts for PPC are inconsistent. Moreover, the timing of interventional therapy is unclear, and complication management is insufficient. Therefore, the development of a multidisciplinary expert consensus on PPC is warranted. At present, endoscopic treatment is recommended for managing PPC in American Society for Gastrointestinal Endoscopy guideline and Chinese Consensus guidelines.
CASE SUMMARY
In this study, we present a rare case of PPC identified by endoscopy and imaging examination, and successfully managed by endoscopic and percutaneous drainage. In detail, an obese patient with a history of recurrent pancreatitis presents an irregular, elliptical cystic low-density shadow in the pancreatic region. Endoscopic ultrasound combined with double knife incision technique was used to endoscopic drainage, resulting in a favorable prognosis.
CONCLUSION
Ultrasound-guided endoscopic drainage for the management of PPC may provide additional insights to current clinical guidelines.
Core Tip: In this case, the patient underwent endoscopic window drainage for a pancreatic pseudocyst, utilizing ultrasound gastroscopy for the first time. The ultrasound gastroscopy facilitated accurate positioning, while the endoscopic submucosal dissection related technique was employed to incise the gastric wall and access the cyst, allowing for the drainage of cystic fluid. Subsequent dynamic re-examinations revealed a significant reduction in cyst size without any associated complications. During follow-up, the patient’s overall condition remained stable, and our institution has successfully performed four similar procedures without complications.
