World Journal of Gastrointestinal Surgery最新文献

{"title":"Retraction note: Efficacy and safety analysis of transarterial chemoembolization and transarterial radioembolization in advanced hepatocellular carcinoma descending hepatectomy.","authors":"Rui Feng, De-Xin Cheng, Tao Song, Long Chen, Kai-Ping Lu","doi":"10.4240/wjgs.v17.i5.105113","DOIUrl":"10.4240/wjgs.v17.i5.105113","url":null,"abstract":"<p><p>[This retracts the article on p. 687 in vol. 15, PMID: 37206075.].</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"105113"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic ultrasound-guided pancreatic duct drainage: Progress and future outlook.","authors":"Si-Yao Wang, Si-Qiao Zhao, Shu-Peng Wang, Yue Zhang, Si-Yu Sun, Sheng Wang","doi":"10.4240/wjgs.v17.i5.104267","DOIUrl":"10.4240/wjgs.v17.i5.104267","url":null,"abstract":"<p><p>As an innovative endoscopic intervention, endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) demonstrates significant clinical value in resolving pancreatic ductal hypertension syndrome. By integrating real-time ultrasound guidance with catheter-based intervention techniques, this approach provides a safe and effective alternative for cases where conventional endoscopic retrograde cholangiopancreatography has failed. Current evidence indicates that EUS-PD achieves technical success rates ranging from 82% to 95% in alleviating symptomatic pancreatic duct hypertension caused by malignant obstructions and chronic pancreatitis-related strictures, with an overall complication rate (15%-20%) substantially lower than surgical interventions. Compared to conventional imaging modalities, EUS-PD offers superior anatomical visualization capabilities: Its high-frequency ultrasound probe enables precise identification of 3 mm-level pancreatic duct branches, while contrast-enhanced imaging significantly improves diagnostic accuracy in differentiating benign from malignant strictures (sensitivity 91% <i>vs</i> 73%, <i>P</i> < 0.05). Nevertheless, technical challenges persist, including difficult ductal puncture localization (particularly in pancreatic head lesions), complex guidewire axial control, and postoperative pancreatic fistula risks (7%-12%). This review systematically examines the clinical indications/contraindications, procedural protocols, device selection criteria, and management strategies for early/late complications associated with EUS-PD. Special emphasis is placed on establishing anatomical pathway selection standards for transgastric-pancreatic duct <i>vs</i> transduodenal-pancreatic duct approaches. Advancements in auxiliary technologies (<i>e.g.</i>, three-dimensional elastography, AI-assisted navigation) and multidisciplinary team collaboration are pivotal to developing standardized protocols. We propose establishing international multicenter registry databases and conducting prospective randomized controlled trials to clarify EUS-PD's position within pancreatic disease management systems. Such initiatives will facilitate the clinical transformation of EUS-PD from an \"alternative option\" to a \"preferred strategy\", ultimately enhancing treatment precision and improving clinical outcomes in pancreatic disorders.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"104267"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing postoperative complications in patients with gastric cancer: A retrospective study.","authors":"Ying Xiao, Bang-Chun Ren, Tao Zhang, Dong Peng, Jiang Min","doi":"10.4240/wjgs.v17.i5.101047","DOIUrl":"10.4240/wjgs.v17.i5.101047","url":null,"abstract":"<p><strong>Background: </strong>Gastric cancer is a malignancy with high morbidity and mortality rates. Surgical intervention, particularly gastrectomy, is essential for curative treatment but carries a substantial risk of complications. Identifying key risk factors and understanding complication profiles are crucial for improving outcomes and guiding perioperative management.</p><p><strong>Aim: </strong>To analyze the incidence of postoperative complications in patients with gastric cancer and identify potential risk factors.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 500 patients who underwent gastrectomy between January 2018 and December 2022. Postoperative complications were classified using the Clavien-Dindo system.</p><p><strong>Results: </strong>The overall complication rate was 28.4% (142/500), with 15.2% (76/500) experiencing major complications (Clavien-Dindo grade ≥ III). Pulmonary complications were the most frequent (10.8%), followed by surgical site infections (8.6%), and anastomotic leakage (4.2%). Age 70 years or more, body mass index of 25 kg/m² or more, advanced tumor stage, total gastrectomy, and operative time 240 min or more emerged as independent risk factors.</p><p><strong>Conclusion: </strong>Focused preoperative risk assessment, targeted interventions, and reduced operative time for older or obese patients requiring total gastrectomy or presenting with advanced disease are important to improve surgical outcomes.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"101047"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic abdominal pain caused by foreign bodies in the appendix: A case report.","authors":"Tao Huang, Shang-Kun Li, Wei Wang, Rui Zhang","doi":"10.4240/wjgs.v17.i5.105423","DOIUrl":"10.4240/wjgs.v17.i5.105423","url":null,"abstract":"<p><strong>Background: </strong>Acute abdominal pain is often easy to be diagnosed because of acute abdomen, and can be treated reasonably and effectively. It is more difficult to establish the cause of chronic abdominal pain, and some patients repeatedly visit several hospitals and still cannot be diagnosed. Chronic abdominal pain caused by chronic appendicitis is such a case. If the degree of abdominal pain is mild and there is no sign of peritonitis, chronic appendicitis is not performed unless the patient requests it.</p><p><strong>Case summary: </strong>We report an extremely rare case of chronic appendicitis caused by a foreign body in the appendix in a 35-year-old woman. The patient had a long-term abdominal pain of unclear cause, and she was repeatedly treated in several hospitals. After antibiotic treatment, the abdominal pain was gradually relieved, but abdominal pain often recurs. We conducted abdominal computed tomography examination, and upon the advice of radiologists, we considered the possibility of foreign bodies in the appendix, and excluded other causes of abdominal pain. The patient requested and consented to laparoscopic appendectomy, and a chicken bone was found in the appendiceal cavity by postoperative incision of the appendiceal specimen. Histopathological examination confirmed chronic appendicitis with foreign body giant cell reaction. The patient recovered and was discharged from the hospital. After 2 months of follow-up, abdominal pain did not recur, and the patient had a complete recovery.</p><p><strong>Conclusion: </strong>Surgery can relieve chronic abdominal pain caused by foreign bodies in the appendix, but only if it is diagnosed.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"105423"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Controversies and consensus surrounding laparoscopic pylorus-preserving gastrectomy for early gastric cancer.","authors":"Ying-Xuan Ye, Chu-Ying Wu, Li-Quan Chen, Si-Jia Wu, Kai Ye","doi":"10.4240/wjgs.v17.i5.105295","DOIUrl":"10.4240/wjgs.v17.i5.105295","url":null,"abstract":"<p><p>In recent years, the detection rate of early gastric cancer in China has significantly increased. Early gastric cancer is associated with a favourable prognosis; thus, enhancing the postoperative quality of life for patients has become an increasingly pressing issue in treating gastric cancer. Consequently, function-preserving gastrectomy has emerged as a viable option. This surgical approach aims to minimize the extent of resection while preserving some gastric function, all within the framework of radical tumour excision. Pylorus-preserving gastrectomy (PPG) serves as a representative example of a function-preserving technique and is particularly suitable for early-stage gastric cancer of the middle segment of the stomach. Compared with distal gastrectomy, laparoscopic PPG offers several advantages: (1) Results in less surgical trauma; and (2) Reduces the incidence of postoperative complications such as dumping syndrome, bile reflux gastritis, and gallstones while also improving nutritional status postsurgery. However, the implementation of PPG remains contentious within the medical community. In light of new Japanese guidelines for gastric cancer treatment and informed by current research trends along with relevant evidence-based medicine principles, this review examines various aspects related to laparoscopic PPG, including its definition and indications, safety profile, benefits, technical considerations, methods for digestive tract reconstruction and postoperative complications.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"105295"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application effect of anticipatory care in postoperative infection and complication management in children with acute appendicitis.","authors":"Ning-Ning Xue, Xiang-Jing Li, Zhao-Ming Liu, Fei Tian, Li-Bo Wang, Jia-Huan Wang","doi":"10.4240/wjgs.v17.i5.103141","DOIUrl":"10.4240/wjgs.v17.i5.103141","url":null,"abstract":"<p><strong>Background: </strong>Acute appendicitis is common among pediatric patients, and postoperative infections and complications are significant factors that affect recovery. As a \"forward-looking\" nursing model, anticipatory care may reduce the incidence of postoperative wound infections and complications.</p><p><strong>Aim: </strong>To explore the effects of anticipatory care on the management of postoperative infections and complications in pediatric patients diagnosed with acute appendicitis.</p><p><strong>Methods: </strong>This prospective randomized controlled study included data from 78 pediatric patients who underwent acute appendicitis surgery at Shijiazhuang Sixth Hospital (Hebei Province, China) between February 2021 and March 2024. Patients were divided into two groups: The intervention and control groups (<i>n</i> = 39 each) were based on a random numbers table method. Both groups received routine postoperative nursing care, whereas the intervention group received additional anticipatory care. Statistical analyses were performed using independent sample <i>t</i>-tests, <i>χ</i> ² tests, analysis of variance, and rank-sum tests.</p><p><strong>Results: </strong>Postoperative pain scores and hospital length of stay were significantly lower in the intervention group than those in the control group (<i>P</i> < 0.05 and <i>P</i> < 0.001, respectively). Postoperative wound infection and overall complication rates were significantly lower in the intervention group than those in the control group (5.13% <i>vs</i> 23.08%, <i>P</i> < 0.001; 15.38% <i>vs</i> 46.15%, <i>P</i> < 0.001, respectively). Furthermore, parental satisfaction scores were significantly higher in the intervention group than those in the control group (<i>P</i> < 0.05). Logistic regression identified high C-reactive protein level as a risk factor for postoperative infections and complications, whereas proactive (<i>i.e.</i> anticipatory) nursing intervention was a protective factor.</p><p><strong>Conclusion: </strong>This study provided a scientific basis for the implementation of anticipatory care in the postoperative management of pediatric patients experiencing acute appendicitis.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"103141"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel inflammatory-nutritional prognostic index for advanced gastric cancer patients undergoing gastrectomy and prophylactic hyperthermic intraperitoneal chemotherapy.","authors":"Liang Wang, Mei-Zhu Chen, Lei Liu, Zi-Nian Jiang, Si-Meng Zhang, Mao-Shen Zhang, Xian-Xiang Zhang, Rui-Qing Liu, Dong-Sheng Wang","doi":"10.4240/wjgs.v17.i5.102201","DOIUrl":"10.4240/wjgs.v17.i5.102201","url":null,"abstract":"<p><strong>Background: </strong>Prophylactic hyperthermic intraperitoneal chemotherapy (HIPEC) is one of the methods to prevent peritoneal metastasis of advanced gastric cancer (AGC). However, the prognosis of gastric cancer patients who receive this treatment are different.</p><p><strong>Aim: </strong>To investigate whether inflammation and nutritional indicators affect the prognosis of AGC patients undergoing gastrectomy and prophylactic HIPEC, and to develop a novel inflammatory nutritional prognostic index (INPI). Additionally, we aimed to construct a nomogram model to visually predict the prognosis of these patients and provide more accurate guidance for clinical decision-making.</p><p><strong>Methods: </strong>Clinical data from 181 Locally AGC patients who underwent gastrectomy and prophylactic HIPEC treatment at The Affiliated Hospital of Qingdao University were retrospectively collected. Multicollinearity analysis and least absolute shrinkage and selection operator (LASSO) Cox regression were utilized to construct the INPI. Survival analyses were performed using the Kaplan-Meier method and log-rank test. Both univariate and multivariate Cox proportional hazards regression models were used to analyze independent prognostic factors, and a prognostic nomogram was generated. And the model was validated using the bootstrap method.</p><p><strong>Results: </strong>Clinical data from 181 locally AGC patients who underwent gastrectomy and prophylactic HIPEC treatment at The Affiliated Hospital of Qingdao University were retrospectively collected. Multicollinearity analysis and LASSO Cox regression were utilized to construct the INPI. Survival analyses were performed using the Kaplan-Meier method and log-rank test. Both univariate and multivariate Cox proportional hazards regression models were applied to analyze independent prognostic factors, and a prognostic nomogram was generated. And the model was validated using the bootstrap method.</p><p><strong>Conclusion: </strong>Inflammation and nutrition indicators are associated with the prognosis of AGC patients undergoing gastrectomy and prophylactic HIPEC. The nomogram based on the INPI and clinical features supports personalized treatment strategies improving prognosis for AGC patients undergoing gastrectomy and prophylactic HIPEC.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"102201"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional and inflammatory indicators differ among patients with colorectal cancer with distinct microsatellite stability statuses.","authors":"Hao Zuo, Zheng Yuan, Meng-Hui Gu, Wei Xu, Jia-Hui Zhou, Yan Zhang, Xin-Hua Gu","doi":"10.4240/wjgs.v17.i5.104394","DOIUrl":"10.4240/wjgs.v17.i5.104394","url":null,"abstract":"<p><strong>Background: </strong>Nutritional and inflammatory indicators are crucial in assessing the nutritional health and immune function of patients with cancer, which are factors closely associated with the diagnosis and treatment of colorectal cancer (CRC).</p><p><strong>Aim: </strong>To explore the relationship between nutritional and inflammatory indicators and microsatellite stability (MSS) status in CRC.</p><p><strong>Methods: </strong>The clinical data of 56 patients who underwent surgical treatment for CRC were collected. Furthermore, the expressions of nutritional (levels of serum albumin, triglycerides, serum cholesterol, and body mass index) and inflammatory response indicators (absolute neutrophil count, absolute lymphocyte count, absolute monocyte count, neutrophil-to-lymphocyte ratio, and lymphocyte-to-monocyte ratio) as well as their correlation with microsatellite instability (MSI) status were investigated in patients with CRC.</p><p><strong>Results: </strong>Compared to the patients with MSS tumors, those with MSI tumors demonstrated significantly lower levels of two nutritional indicators, namely serum albumin and body mass index (<i>P</i> < 0.05). Moreover, patients in the MSI group demonstrated significantly lower absolute lymphocyte counts and higher neutrophil-to-lymphocyte ratio than those in the MSS group (<i>P</i> < 0.05), indicating pronounced differences in inflammatory responses and immune states between the two groups.</p><p><strong>Conclusion: </strong>Certain nutritional and inflammatory indicators exhibit significant differences among patients with MSI and MSS CRC, highlighting their potential role in the clinical treatment and health management of this specific population.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"104394"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenteral nutrition with n-3 polyunsaturated fatty acids on nutrition inflammatory and immune status of gastrointestinal cancer patients: Meta-analysis.","authors":"Qin-Hu Gan, Shu-Qun Li, Xin-Li Gan, Zhi-Qing Jiang, Zhi-Yuan Jian","doi":"10.4240/wjgs.v17.i5.105743","DOIUrl":"10.4240/wjgs.v17.i5.105743","url":null,"abstract":"<p><strong>Background: </strong>The incidence of malignant tumors in the digestive system is increasing and is a threat to human health. However, the long duration from tumor detection to radical resection, stress responses due to surgical trauma, and insufficient nutritional intake increases the risk of malnutrition, immune function reduction, postoperative complications, and intestinal dysfunction among patients.</p><p><strong>Aim: </strong>To systematically investigate the association of parenteral nutrition enriched with n-3 polyunsaturated fatty acids (PUFAs) with the nutritional status of patients after gastrointestinal treatment.</p><p><strong>Methods: </strong>Randomized controlled trials associated with PUFA-enriched parenteral nutrition administration in patients with digestive system malignancies were retrieved from online databases such as PubMed, EMBASE, ScienceDirect, Cochrane Library, China Knowledge Network, China VIP, Wanfang, and China Biomedical Literature Database, with the retrieval time from database inception to present. Two researchers independently extracted data. Each article's bias risk was assessed by referring to the Cochrane Handbook version 5.3 criteria and RevMan5.4 was used for data analysis.</p><p><strong>Results: </strong>This meta-analysis involved six randomized controlled trials involving a total of 505 cases. Random-effects model analysis indicated remarkably better improvements in various inflammatory factors in the study group (<i>P</i> < 0.05). Meta-analysis of nutritional indicators revealed that the study group had higher total protein, albumin, and prealbumin levels, as well as lower transferrin levels compared to the control group (<i>P</i> < 0.05). Meanwhile, meta-analysis of T-cell subsets revealed no remarkable inter-group difference in post-treatment CD8⁺ cells (<i>P</i> > 0.05). Moreover, the meta-analysis identified a notably lower incidence of adverse reactions in the study group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Administration of PUFAs helps improve the nutritional status of patients with digestive malignancies in the perioperative period. It promotes immune function recovery, reduces the inflammatory response, and decreases the risk of adverse effects. These beneficial effects make it worth investigating and promoting their use in appropriate patient populations. However, further validation <i>via</i> high-quality studies with long intervention time and extended follow-up periods is required.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"105743"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-guided endoscopic drainage for the management of pancreatic pseudocysts: A case report.","authors":"Ying-Ling Liu, Jie Liu, Wen-Jun Jiang, Kai-Guang Zhang, Ye-Tao Wang","doi":"10.4240/wjgs.v17.i5.106784","DOIUrl":"10.4240/wjgs.v17.i5.106784","url":null,"abstract":"<p><strong>Background: </strong>The treatment strategy for pancreatic pseudocysts (PPC) is comprehensive and warrants multidisciplinary participation. However, at present, the treatment concepts for PPC are inconsistent. Moreover, the timing of interventional therapy is unclear, and complication management is insufficient. Therefore, the development of a multidisciplinary expert consensus on PPC is warranted. At present, endoscopic treatment is recommended for managing PPC in American Society for Gastrointestinal Endoscopy guideline and Chinese Consensus guidelines.</p><p><strong>Case summary: </strong>In this study, we present a rare case of PPC identified by endoscopy and imaging examination, and successfully managed by endoscopic and percutaneous drainage. In detail, an obese patient with a history of recurrent pancreatitis presents an irregular, elliptical cystic low-density shadow in the pancreatic region. Endoscopic ultrasound combined with double knife incision technique was used to endoscopic drainage, resulting in a favorable prognosis.</p><p><strong>Conclusion: </strong>Ultrasound-guided endoscopic drainage for the management of PPC may provide additional insights to current clinical guidelines.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 5","pages":"106784"},"PeriodicalIF":1.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}