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A significant percentage (291%, or n=32) of these cases were managed using endoscopy-guided, peri-anastomotic pigtail stents for internal drainage, applied either as primary, secondary, or tertiary treatment. A decision-driven approach revealed superior primary (778% vs 537%) and secondary (857% vs 684%) success rates for endoscopic versus percutaneous procedures. Additionally, primary resolution occurred significantly earlier (114 days, 95%CI (575-1713) versus
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