Objective: To evaluate the clinical success, technical success and complications related to Endoscopic ultrasound (EUS) guided Pancreatic pseudocyst (PPC) drainage. Methods: This retrospective study was conducted on the patients with symptomatic PPC who presented over a period of three years, between January 2015 and September 2018, at Endoscopic Suite of Surgical Unit 4, Civil Hospital, Karachi. Record was analyzed for demographic data, indications for the procedure, complications and success related to EUS guided drainage. Statistical analyses were performed using the SPSS Version 22. Results: Total number of patients was 71. Mean age was 37.20 ± 17.27 years with a range of 6 to 68 years. Complications occurred in 12 (8.52%) patients, including stent migration (5/12), bleeding (4/12), infection (1/12), intra-abdominal abscess (1/12) and perforation (1/12). Technical success was achieved in 100% and clinical success in 97.1%. There was no procedure-related mortality. Conclusion: Pancreatic pseudocyst (PPC) is a known complication of acute as well as chronic pancreatitis which can have dreaded and appalling effects. In this part of the world with limited and scarce resources, EUS guided drainage of PPC is most feasible and rational with minimal complications, thus making it a front runner procedure. doi: https://doi.org/10.12669/pjms.36.4.1442 How to cite this:Kazim E, Taj MA, Zulfikar I, Azeem J. Endoscopic Ultrasound Guided Pancreatic Pseudocyst drainage experience at a tertiary care unit. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1442 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Objective: Our aim of this analysis was to evaluate the clinical features, laboratory values, radiological findings, endoscopic management, and technical success in patients with Choledochal cyst (CC). Materials & Methods: This retrospective study was carried out at our Endoscopy suite, between January 2010 to January 2022. All patients of choledochal cyst who underwent ERCPs in last 12 years were analyzed. Technical success was defined as achieving a biliary cannulation and successfully acquiring the desired goal. Descriptive and Frequency analysis were incorporated in Statistical analysis with SPSS. Results: Procedures performed in 100 patients with suspected choledochal cyst either for a diagnostic or therapeutic purpose were evaluated. 48 ERCPs (48%) were performed for therapeutic purpose and 52 (52%) for diagnostic purpose. Diagnostic findings after successful ERCP were CC in 67 (67%), CC with stone in 28 (28%), CC with cholangiocarcinoma in four (4%) and CC with biliary stricture in one (1%). No mortality was documented in our patients who underwent Procedure. Patients referred for surgery were 92 (92%) and ERCP affected management in 100% (100/100 procedures). Practical Implications: This study will determine the clinical features, laboratory values, radiological findings, endoscopic management, and technical success in patients with Choledochal cyst. Conclusion: ERCP is a contemporary procedure, its utility in cases with CCs in a developing country with scarce resources and limited availability of gold standard modality (MRCP), is astounding and safe. Keywords: Endoscopic retrograde cholangiopancreatography; Choledochal cyst; Classification; Endoscopic management.