One step endoscopic cysto-duodenostomy and endoscopic biliary drainage

Background: Pancreatic pseudocyst is a major complication of acute and chronic pancreatitis. Pancreatic pseudocysts show a wide variety of clinical presentations ranging from completely asymptomatic lesions to multiple pseudocysts with pancreatic and bile duct obstruction. Common bile duct stricture is a frequent complication in chronic pancreatitis with a reported incidence of 3–23% and sometimes caused by a pancreatic pseudocyst in the head of the organ. Because of relatively high mortality, morbidity and recurrence rates of surgical drainage, which is associated with long hospitalization, efforts have brought…