00502743

August 11, 2021, 02:02

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READER´S COMMENT: Data for the Edorial Team: Prof. Dr. Adrián Ángel Inchauspe Invited Foreign Professor - China National Academy of Medical Sciences, China Editorial Consultant - Medical University of Hainan, Haikou, Hainan, China Editorial Board Member - Journal of Acute Disease (JAD),Haikou, Hainan, China Editorial Highlight Member - World Journal of Critical Care Medicine, Baishideng Pub.Beijing, China Editorial Guest Member - Frontiers of Clinical Pharmacology Research and Outcomes Journal, Switzerland Member of the Scientific Committee - Argentine Acupuncture Society, Buenos Aires, Argentina Member of the Argentina Resuscitation Council, Buenos Aires, Argentina Former Member of the Research Department- HINEA and C “Dr. Alejandro Korn” Hospital, Melchor Romero, La Plata, Argentina Former Surgery Professor -School of Medical Science, National University of La Plata, La Plata, Buenos Aires, Argentina Sequential therapy with combined trans-papillary endoscopic naso-pancreatic and endoscopic retrograde pancreatic drainage for pancreatic pseudocysts Yong-Gang He, Jing Li, Xue-Hui Peng, Jing Wu, Ming-Xun Xie, Yi-Chen Tang, Lu Zheng, Xiao-Bing Huang Yong-Gang He, Jing Li, Xue-Hui Peng, Jing Wu, Yi-Chen Tang, Lu Zheng, Xiao-Bing Huang, Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, China World J Clin Cases 2021; 9(22): 6254-6267 [DOI: 10.12998/wjcc.v9.i22.6254] As an old-fashion retired surgeon, I still remember the several difficulties when performing both pancreatic cysto gastric or jejunum anastomosis through open or laparoscopic procedures. Infection rate and recurrence were significantly high, in addition to other intra or post-operative complications. The combination of ENPD and ERPD scheme proposed by Dr. He et al. is really innovative, adding the non –invasive security factor for fast and safe recovery. It is clear that multiplying the drainage routes of the pseudo-cyst ensures a more complete emptying, which consequently redounds in a significantly lower rate of infections. Active suction and dilution of the cystic fluid to avoid blockage of the naso-pancreatic tube is an interesting aid for facilitate drainage of the thick contents of the pseudocyst. Baseline measurement of drainage pressures in both ENPD and ERPD would be quite interesting, thus establishing possible values that would indicate a possible future obstructions of the drainage. The development of the aforementioned avant-garde techniques under the guidance of current diagnostic methods augurs a promising future in future treatments in the face of the potentially serious complications of acute or chronic pancreatic injury, achieving a lower rate of complications and a faster and positive recovery results. Authors performed quoted Retrospective Analysis with a correct scientific methodology, follow-up research work and satisfactory language quality standards. Conflict – of –Interest Statement: None

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