A novel method for performing multiple wire insertions during endoscopic cyst gastrostomy

Area of Science:

• Gastroenterology
• Endoscopic Procedures
• Surgical Innovation

Background:

• Endoscopic cyst gastrostomy is a key treatment for pancreatic pseudocysts.
• A significant challenge is the secure insertion of multiple guidewires.
• Existing methods for guidewire insertion are often complex.

Purpose of the Study:

• To present a simple, effective method for guidewire insertion during endoscopic cyst gastrostomy.
• To highlight the utility of a commercially available catheter for multiple wire placement.

Main Methods:

• A case series of four patients undergoing EUS-guided cyst gastrostomy.
• Utilized a Haber ramp for introducing multiple guidewires into pancreatic pseudocysts.
• Focused on achieving and maintaining wire access throughout the procedure.

Main Results:

• Successful pancreatic cyst gastrostomy was achieved in all four patients.
• No loss of wire access occurred during any procedure.
• No intraprocedure or postprocedure complications were observed.

Conclusions:

• The Haber ramp offers a straightforward and efficient solution for wire access in endoscopic cyst gastrostomy.
• This method simplifies a critical step in the procedure.
• Further studies are warranted due to the small patient cohort.