Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2022; 14(8): 855-861
Published online Aug 27, 2022. doi: 10.4240/wjgs.v14.i8.855
Interventional radiology followed by endoscopic drainage for pancreatic fluid collections associated with high bleeding risk: Two case reports
Ning Xu, Long-Song Li, Wen-Yi Yue, Dan-Qi Zhao, Jing-Yuan Xiang, Bo Zhang, Peng-Ju Wang, Ya-Xuan Cheng, En-Qiang Linghu, Ning-Li Chai
Ning Xu, Long-Song Li, Dan-Qi Zhao, Jing-Yuan Xiang, Bo Zhang, Peng-Ju Wang, Ya-Xuan Cheng, En-Qiang Linghu, Ning-Li Chai, Senior Department of Gastroenterology, The First Medical Center of PLA General Hospital, Beijing 100853, China
Wen-Yi Yue, Department of Radiology, Chinese PLA General Medical School, Beijing 100853, China
Author contributions: Xu N and Li LS contributed equally to this manuscript; Chai NL and Xu N contributed to manuscript drafting; Xu N and Yue WY wrote the manuscript; Li LS, Zhao DQ, Xiang JY, Zhang B, Wang PJ and Cheng YX were responsible for the revision of the manuscript for significant content; Chai NL and Linghu EQ were the patient’s endoscopists and reviewed the literature; all authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 82070682; and Beijing Municipal Science and Technology Commission, China, No. Z181100001718177.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: There are no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ning-Li Chai, MD, PhD, Chief Doctor, Senior Department of Gastroenterology, The First Medical Center of PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China. chainingli@vip.163.com
Received: May 26, 2022
Peer-review started: May 26, 2022
First decision: June 19, 2022
Revised: June 27, 2022
Accepted: August 6, 2022
Article in press: August 6, 2022
Published online: August 27, 2022
Processing time: 90 Days and 1.8 Hours
Core Tip

Core Tip: Endoscopic ultrasound-guided drainage has previously proved to be an excellent method to cure pancreatic fluid collections (PFCs). However, it is not recommended for PFCs with the gastric varices and the abundant surrounding vessels because of the high bleeding risk. Preoperative interventional embolization decreases the possibility of hemorrhage when a transluminal tunnel is established between the stomach and cyst. In our cases, the patients underwent this new preoperative arrangement and transgastric drainage was performed. No bleeding or other intraoperative complications occurred. We recommend this modality as a new strategy for PFCs drainage in patients with high bleeding risk.