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Gaining competence in rarely performed interventional procedures is difficult. We present here a pig model for endoscopic drainage of pancreatic pseudocysts and describe its preparation and the proce− dure. Endoscopic drainage of pancreatic pseudocysts through the wall of the gas− trointestinal tract is a challenging proce− dure for any endoscopist because of the need to cross the peritoneal cavity [1]. The caseload of many endoscopy centres is usually relatively small and may only amount to five to 20 procedures per year, and the opportunities for teaching and learning are limited. We considered that the Erlangen Active Simulator for Inter− ventional Endoscopy (EASIE) model for endoscopic retrograde cholangiopancrea− tography designed by Hochberger and Maiss might be suitable [2]. This model consists of a pig esophagus, stomach and duodenum with the ligamentum hepato− duodenale, the whole biliary system and the liver, lying in a plastic box; it does not have a pancreas because the pig pancreas does not drain via the main papilla.

Adaptation of the Erlangen Active Simulator for Interventional Endoscopy (EASIE) Model for Transmural Pancreatic Pseudocyst Drainage