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Tailoring treatment to the circumstance: reasoning behind metal versus plastic drainage of pancreatic collections – authors’ reply
  1. John Gásdal Karstensen1,2,
  2. Srdan Novovic1,2,
  3. Palle Nordblad Schmidt1
  1. 1Pancreatitis Centre East (PACE), Gastro Unit, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark
  2. 2Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
  1. Correspondence to Dr John Gásdal Karstensen, Pancreatitis Centre East (PACE), Gastro Unit, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark; john.gasdal.karstensen{at}

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We thank Vanella et al for their interest in our paper and for pointing out additional details and perspectives.1 2 In our study, we randomised patients with large pancreatic walled-off necrosis (WON) and a need for transgastric drainage to either a 20 mm lumen apposing metal stent (LAMS) or double pigtail stent (DPT) and found no superiority of the LAMS in terms of number of necrosectomies, clinical resolution or length of stay.2 Vanella et al point out that a weekly dilatation of the transgastric stoma in the DPT study group might have favoured the DPT technique. We agree that this may be the case and it should be included when assessing the results of our study. However, two other …

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  • Contributors JGK drafted the letter. All authors critically revised the manuscript for important intellectual content and approval of the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests JGK is a consultant for Boston Sci, Ambu and SNIPR BIOME. PNS is a consultant for Boston Sci and Ambu. SN has no competing interests.

  • Provenance and peer review Not commissioned; internally peer reviewed.