Fig. 1. CT scan showing the large pancreatic pseudocyst (21 cm)

Fig. 2. Naso-cystic catheter is positioned transpapillary into the pacreas pseudocyst

Fig. 3. Transgastrale pancreas pseudocyst drainage with naso-cystic catheter

Fig. 4. Transgastrale and trans papillary combination drainage with short prosthesis of the pancreas pseudocyst

Fig. 5. The pancreatic pseudocyst disappeared completely afer the transgastrale drainage in 5 weeks

Fig. 6. EUS-document of correctly implanted guide wire wire and nasocystic catheter in a pancreatic pseudocyst

Fig. 7. Endoscopic ultrasonographic representation of intra or extramural venectasia and search for an avascular area to allow safe puncture.
V: Varix, PC: Pancreas cyst, L: Lumen

Fig. 8. EUS-guided puncture of a regastric pancreatic pseudocyst with a cystotom using a Pentax FG-32 UA echo endoscope, a Hitachi EUB-405 console

Fig. 9. Angiographic representation of a big blood vessel of large pancreatic pseudocyst

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