Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 14, 2024; 30(6): 610-613
Published online Feb 14, 2024. doi: 10.3748/wjg.v30.i6.610
Endoscopic intramural cystogastrostomy for treatment of peripancreatic fluid collection: A viewpoint from a surgeon
Chen-Guo Ker
Chen-Guo Ker, Department of General Surgery, E-Da Hospital, I-Shou University, Kaohsiung 824, Taiwan
Author contributions: Ker CG performed literature search and evaluation, and manuscript preparation.
Conflict-of-interest statement: The author declares no conflict of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chen-Guo Ker, FACS, MD, PhD, Professor of Surgery, Department of General Surgery, E-Da Hospital, I-Shou University, No. 1 Yi-Da Rd, Yanchao District, Kaohsiung 824, Taiwan. ed112739@edah.org.tw
Received: October 31, 2023
Peer-review started: October 31, 2023
First decision: December 4, 2023
Revised: December 8, 2023
Accepted: January 16, 2024
Article in press: January 16, 2024
Published online: February 14, 2024
Core Tip

Core Tip: Endoscopic transgastric fenestration (ETGF) actually shares the same indications and procedures as surgical cystogastrostomy for the management of pancreatic pseudocysts. From a surgeon’s viewpoint, both ETGF and surgical cystogastrostomy are used for producing a wide outlet orifice for the drainage. Endoscopic ultrasound-guided drainage and necrosectomy or ETGF has a high priority over the surgical approach. However, the surgical approach usually has a better success rate because surgical cystogastrostomy has a wider outlet than ETGF.