Endoscopic ultrasound-guided drainage of pancreatic fluid collections

Figure 1 Ultrasonographic image of the pancreatic fluid collection to identify an appropriate puncture route which has no interposing vessels.

Figure 2 Needle puncture of the pancreatic fluid collection and insertion of a guide-wire. A: Ultrasonographic image of needle puncture of the pancreatic fluid collection; B: Radiological image of insertion of a guide-wire in the pancreatic fluid collection.

Figure 3 Dilation of the punctured tract, creating a fistula between gut wall and the pancreatic fluid collection.

Figure 4 Insertion of the drainage tubes. A: Endoscopic image of insertion of a fully covered self-expanding metal stent; B: Radiological image of insertion of a fully covered self-expanding metal stent.