EUS GUIDED CHOLEDOCODUODENOSTOMY WITH HOT AXIOS: FRENCH MULTICENTRIC STUDY AFTER LEARNING CURVE
Jérémie Jacques, Jocelyn Privat(Institut Européen De La Qualité Totale), Fabien Fumex(Hôpital Privé Jean Mermo), Fabien Pinard(Centre Hospitalier de Cornouaille), JC Valats(Hôpital Saint Eloi), Franck Cholet(Centre Hospitalier Régional Universitaire de Brest), Philippe Grandval(Hôpital de la Timone), Hugo Lepetit, Romain Legros, Bertrand Napoléon(Hôpital Privé Jean Mermo)
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Abstract
Eus guided biliary drainage is indicated in case of impossibility or failure of classic biliary drainage by ERCP. Recently we reported a good efficiency of EUS guided choledocoduodenostomy using the HOT AXIOS in a retrospective multicentric study. However in this study, technical success was 88.5%. Utilization of the recommended technique (direct ponction of the common bile duct with the HOT AXIOS + using a 6 mm Stent + fistulotomy with a pure section current) was the only predciting factor of clinical success.
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