Endoscopic Ultrasound-Guided Drainage without Fluoroscopic Guidance for Extraluminal Complicated Cysts

Figure 2

Endoscopic images (a–e) and radiologic image (f). (a) Placement of a 0.035-inch guidewire into the cavity. (b) Transmural incision using electrocautery administered via an over-the-wire needle-knife catheter under endoscopic view. (c) Bougienage with 7 Fr biliary dilatation catheters. (d) Sequential dilatation using a 4 mm × 40 mm wire-guided Hurricane RX Balloon Dilator under endoscopic guidance. (e) Transgastric placement of a 7 Fr pigtail stent to drain the pseudocyst. (f) X-ray view of a 7 Fr pigtail stent after endoscopic ultrasound-guided drainage.

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