Evidence map›Paper›PMID 41970672›Full record

ArticleEndoscopy international open2026

Precision vs. cost: Endoscopic ultrasound-guided vs. conventional pancreatic cyst drainage in a resource-limited setting.

Abeer Altaf, Javeria Salman, Muhammad Asim, Muhammad Umair Tahseen, Bushra Ayub, Arif Siddiqui, Shanil Kadir, Mehreen Siyal, Asma Yaseen, Noval Zakaria and 4 more

Erratum issuedAbstract read
In one paragraph

Article in Endoscopy international open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Abeer AltafSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.ORCID 0000-0002-0150-074X
Javeria SalmanSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Muhammad AsimSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Muhammad Umair TahseenSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Bushra AyubSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Arif SiddiquiSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Shanil KadirSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Mehreen SiyalSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.ORCID 0000-0001-8294-0183
Asma YaseenSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Noval ZakariaSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Naseer AhmedSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Fahad KakarSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Marwan ElaqaadSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.
Saad NiazSindh Institute of Advance Endoscopy and Gastroenterology (SIAG), Dr. Ruth K. M. Pfau Civil Hospital Karachi, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Pancreatic pseudocyst is a frequent complication of pancreatitis. Endoscopic ultrasound (EUS) being the standard approach for drainage, along with conventional transgastric (CTG) remains an alternative, but comparative real-world data from resource-limited settings remain scarce. Patients and methods: A retrospective review was conducted at a tertiary-care center in Pakistan from 2015 to 2025. Patients undergoing pseudocyst drainage via CTG or EUS were compared for demographic variables, technical success, complications, and procedure costs. Logistic regression was used to identify predictors of either modality for drainage. Results: A total of 164 patients underwent pseudocyst drainage, including 96 (58.5%) treated with EUS-guided drainage and 68 (41.5%) with CTG. Mean age was 32.76 ± 16.65 years (range 4-77), with 42 pediatric patients. Abdominal pain was the most common presenting symptom. Pseudocysts treated with CTG were significantly larger than those treated with EUS (15.02 ± 8.20 mm vs. 8.49 ± 2.53 mm; Conclusions: EUS-guided and conventional transgastric drainage demonstrate comparable safety and efficacy. In resource-limited settings, CTG remains a cost-effective option in appropriately selected patients.

Indexed as

Endoscopic ultrasonographyERC topicsFine-needle aspiration/biopsyIntervention EUSPancreasPancreatobiliary (ERCP/PTCD)

Identifiers

PMID41970672
PMCPMC13062678

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.