<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452023000600012</article-id>
<article-id pub-id-type="doi">10.1159/000526852</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Technical and Clinical Outcomes of Using a Single Wide-Caliber Double-Pigtail Stent for Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage: A Multicenter Prospective Study]]></article-title>
<article-title xml:lang="pt"><![CDATA[Resultados Técnicos e Clínicos da Utilização de Stent Duplo Pigtail de Grande Calibre para Drenagem Endoscópica de Pseudoquistos Pancreáticos: Estudo Prospetivo Multicêntrico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ghoneem]]></surname>
<given-names><![CDATA[Elsayed]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Okasha]]></surname>
<given-names><![CDATA[Hussein]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hammouda]]></surname>
<given-names><![CDATA[Mohamed]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gouda]]></surname>
<given-names><![CDATA[Mohamed Fathi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soliman]]></surname>
<given-names><![CDATA[Reham]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Shiha]]></surname>
<given-names><![CDATA[Gamal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ragab]]></surname>
<given-names><![CDATA[Khaled]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agwa]]></surname>
<given-names><![CDATA[Ramy Hassan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Mansoura University Faculty of Medicine Hepatology and Gastroenterology Unit, Internal Medicine Department]]></institution>
<addr-line><![CDATA[Mansoura ]]></addr-line>
<country>Egypt</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Egyptian Liver Research Institute and Hospital (ELRIAH)  ]]></institution>
<addr-line><![CDATA[Mansoura ]]></addr-line>
<country>Egypt</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Cairo University Kasr al-Aini School of Medicine Hepatology and Gastroenterology Unit]]></institution>
<addr-line><![CDATA[Cairo ]]></addr-line>
<country>Egypt</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Theodor Bilharz Research Institute  ]]></institution>
<addr-line><![CDATA[Cairo ]]></addr-line>
<country>Egypt</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Port Said University Faculty of Medicine Tropical Medicine Department]]></institution>
<addr-line><![CDATA[Port Said ]]></addr-line>
<country>Egypt</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>30</volume>
<numero>6</numero>
<fpage>12</fpage>
<lpage>19</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452023000600012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452023000600012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452023000600012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Endoscopic ultrasound (EUS)-guided pancreatic cysto-gastrostomy/duodenostomy is the current accepted practice for management of symptomatic pancreatic pseudocysts with insertion of two or more double-pig-tail (DP) stents. There is no much work on the efficacy of using a single wide-caliber DP stent, aiming to decrease the time, complications, and accessories used in the procedure.  Aim of the Work:  The aim of this study was to assess technical and clinical outcomes of using a single wide-caliber DP stent in EUSguided pancreatic pseudocyst drainage.  Methodology:  This multicenter prospective study included 57 patients, from which the 35 patients with symptomatic pancreatic pseudocysts enrolled. Patients with cysts with mul-tiple septations (7 cases) or cyst with &gt;30% necrosis (8 cases) of the cyst content and patients with generalized ascites (4 cases) or patients with major comorbidities (3 cases) were excluded. Patients were followed up within 1 month and 6 months after stent placement to assess complete resolution or a decrease in the sizes of cysts with clinical symptomatic improvement.  Results:  From 57 patients, 35 patients (19 females/16 males, median age 40 years) with a symptomatic pancreatic pseudocyst were referred for EUS-guided drainage. All used stents were 10 Fr DP plastic stents. The median duration of the whole procedure was 16 min. Technical success was achieved in all cases. Clinical success was encountered in 32 patients (91.4%) without re-accumulation on follow-up. Minor adverse events were encountered in 3 patients (8.6%) including post-procedure abdominal pain (1 case) and fever (2 cases).  Conclusion:  We suggest that using a wide-caliber single-pigtail stent for EUS-guided cystogastrostomy is safe and effective with short procedure time, with reduced risks from the insertion of another stent(s).]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A cistogastrostomia/duodenostomia pancreática guiada por ecoendoscopia (EUS) é atualmente aceite para a abordagem dos pseudoquistos pancreáticos sintomáticos através da inserção de dois ou mais stents duplo pigtail (DP). A evidência é escassa relativamente à eficácia da utilização de apenas um stent duplo pigtail de grande calibre, com o objetivo de diminuir o tempo, as complicações e os dispositivos utilizados no procedimento.  Objetivo:  Avaliar os resultados técnicos e clínicos do uso de stent duplo pigtail único de grande calibre na drenagem de pseudoquistos pancreáticos guiada por ecoendoscopia. Metodologia: Estudo prospetivo multicêntrico incluindo 57 doentes (dos quais 35 com pseudoquistos pancreáticos sintomáticos). Foram excluídos pacientes com quistos multiseptados (7 casos), com necrose &gt;30% (8 casos), com ascite (4 casos) e comorbidades major (3 casos). O follow-up foi ao 1 mês e 6 meses após a colocação do stent para avaliar a resolução completa ou diminuição no tamanhos dos pseudoquistos com melhoria sintomática.  Resultados:  Dos 57 doentes, 35 (19 mulheres/16 homens, idade média 40 anos) com pseudoquistos pancreáticos sintomáticos foram submetidos a drenagem guiada por EUS. Todos os stents utilizados foram stents DP plásticos com 10 Fr. A duração mediana do procedimento foi de 16 minutos. O sucesso técnico foi alcançado em todos os casos. Ocorreu sucesso clínico em 32 doentes (91,4%), sem reacumulação no seguimento. Eventos adversos menores ocorreram em 3 doentes (8,6%), incluindo dor abdominal pós-procedimento (1) e febre (2).  Conclusão:  Os resultados sugerem que a utilização de stent pigtail único de grande calibre para cistogastrostomia guiada por EUS é segura e eficaz, com tempo de procedimento curto e reduzindo o risco da inserção de outro(s) stent(s).]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Endoscopic ultrasound]]></kwd>
<kwd lng="en"><![CDATA[Pancreatic pseudocyst]]></kwd>
<kwd lng="en"><![CDATA[Pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[Cystogastrostomy]]></kwd>
<kwd lng="en"><![CDATA[Single double-pigtail]]></kwd>
<kwd lng="pt"><![CDATA[Ecoendoscopia]]></kwd>
<kwd lng="pt"><![CDATA[Pseudoquisto pancreático]]></kwd>
<kwd lng="pt"><![CDATA[Pancreatite]]></kwd>
<kwd lng="pt"><![CDATA[Cistogastrostomia]]></kwd>
<kwd lng="pt"><![CDATA[Stent plástico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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