Endoscopic intramural cystogastrostomy for treatment of peripancreatic fluid collection: A viewpoint from a surgeon

Table 1 Comparison of treatment procedures for pancreatic pseudocyst and walled-off necrosis

Procedure	Percutaneous cystic drainage	EUS-guided drainage with/without necrosectomy	ETGF1 with/without necrosectomy	Surgical cystogastrostomy2
Variable
Technique difficulty	Less	Less	High	High
Risk	Less	Less	Moderate	High
Re-insertion	Yes	Yes	-	-
Complications	Less	Less	Moderate	Less
Healing course	Long	Long	Short	Short
Cost	Less	Moderate	Moderate	High
Ref.	Johnson et al[11]; Akshintala et al[6]	Seicean et al[8]; McGuire et al[10]	Varadarajulu et al, 2008[7]; Suggs et al[14]; Liu et al[12]	Varadarajulu et al[7]; Suggs et al[14]

¹ETGF: Similar to the surgical procedure (cystogastrostomy).

²Cystogastrostomy performed using a traditional or laparoscopic approach.

ETGF: Endoscopic transgastric fenestration; EUS: Endoscopic ultrasound.