Response:

We thank Drs Wang et al1 for their interest in, and comments on, our study evaluating the safety and efficacy of lumen-apposing metal stents (LAMSs) with and without the simultaneous placement of double-pigtail stents (DPSs) for draining pancreatic pseudocysts (PPs).2 Similar to our results and similar to a multicenter study using LAMSs to drain PPs,3 these authors also observed cyst cavity infection in 10% of patients when LAMSs were used to drain PPs without the simultaneous placement of DPSs.

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