title: Endoscopic transmural drainage of pancreatic pseudocysts: technical challenges in the resource poor setting.
abstract: Although surgical drainage of pancreatic pseudocysts has been superseded by less invasive options, the requirement for specialized equipment, technical expertise, and consumables limits the options available in low resource settings. We describe the challenges experienced during endoscopic transmural drainage in a low resource setting and the methods used to overcome these barriers. Despite operating in a low resource environment, endoscopic drainage of pancreatic pseudocysts can be incorporated into our armamentarium with minimal change to the existing hardware. Careful patient selection by a dedicated multidisciplinary team should be observed in order to achieve good outcomes.
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
authors.forename: Shamir O
authors.initials: SO
authors.lastname: Cawich
authors.affiliation: Department of Medicine, University of the West Indies, Mona Campus, Kingston, Jamaica.
authors.forename: Trevor
authors.initials: T
authors.lastname: Murphy
authors.affiliation: Departments of Surgery, Radiology, Anaesthesia, and Intensive Care, University of the West Indies, Mona Campus, Kingston, Jamaica.
authors.forename: Sundeep
authors.initials: S
authors.lastname: Shah
authors.affiliation: Departments of Surgery, Radiology, Anaesthesia, and Intensive Care, University of the West Indies, Mona Campus, Kingston, Jamaica.
authors.forename: Phillip
authors.initials: P
authors.lastname: Barrow
authors.affiliation: Department of Medicine, University of the West Indies, Mona Campus, Kingston, Jamaica.
authors.forename: Milton
authors.initials: M
authors.lastname: Arthurs
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Ramdass
authors.affiliation: Departments of Surgery, Radiology, Anaesthesia, and Intensive Care, University of the West Indies, Mona Campus, Kingston, Jamaica.
authors.forename: Peter B
authors.initials: PB
authors.lastname: Johnson