Abstract
Drained surgically or percutaneously, a subset of pancreatic pseudocysts are amenable to transmural or transpapillary endoscopic drainage. Although most series are encouraging, there does appear to be an increased complication rate with the transgastric approach as compared to the transduodenal approach. Moreover, enlarging or symptomatic pseudocysts with considerable necrotic debris are better treated radiographically or with surgical debridement and drainage.
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