EUS guided Cystogastrostomy

EUS-Guided Cystogastrostomy (Endoscopic Ultrasound-Guided Cystogastrostomy) is a minimally invasive endoscopic procedure used to drain pancreatic fluid collections.

Indications :-

Symptomatic pancreatic pseudocysts (infection, pain, gastric outlet obstruction, biliary obstruction)
Walled-off pancreatic necrosis (WOPN)
Persistent or enlarging fluid collections despite conservative management

Advantages of EUS-Guided Cystogastrostomy

✔ Minimally invasive compared to surgical drainage
✔ Faster recovery and shorter hospital stay
✔ Lower risk of complications compared to percutaneous drainage
✔ Real-time visualization with EUS improves precision

Procedure Steps

Endoscopic Ultrasound (EUS) Localization
- An echoendoscope is used to visualize the fluid collection and assess its proximity to the stomach or duodenum.
Needle Aspiration & Contrast Injection
- A fine-needle aspiration (FNA) is performed to confirm the presence of fluid, followed by contrast injection to outline the cyst.
Fistula Creation & Tract Dilation
- A cystogastrostomy or cystoduodenostomy tract is created using electrocautery or a needle knife.
- The tract is dilated with a balloon dilator to facilitate drainage.
Stent Placement
- A lumen-apposing metal stent (LAMS) or double-pigtail plastic stents are placed to allow continuous drainage of the cyst into the stomach or duodenum.

EUS guided Cystogastrostomy

Indications :-

Advantages of EUS-Guided Cystogastrostomy

Procedure Steps

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