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Abbreviation: PPC (pancreatic pseudocyst) In EUS-guided drainage of pancreatic pseudocysts (PPCs), the cystogastrostomy tract is usually established using a cystotome with a guidewire, and a stent or nasocystic catheter is implanted. However, cystic fluid leakage could occur before implantation. Therefore, we modified a guidewire (Fusion LoopTip, Cook Medical, Bloomington, Ind, USA) with a loop tip as a cystotome (Fig.
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