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Endoscopic Ultrasound (EUS) guided biliary drainage is indicated in case of impossibility or failure of classic biliary drainage by endoscopic retrograde cholangio-pancreatography (ERCP). Recently the investigators reported a good efficiency of EUS guided choledocoduodenostomy using the HOT-AXIOS device (Electrocautery enhanced lumen apposing metal stent) in a retrospective multicentric study. Utilization of the recommended technique (direct punction with the HOT AXIOS using a pure cut current + using a 6 mm Stent) was the only predicting factor of clinical success. The investigators reevaluate this procedure one year after in the same centers.
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| Measure | Description | Time Frame |
|---|---|---|
| technical success rate | Technical success was defined as the ability to correctly deploy the Hot AXIOS stent between the common bile duct and the duodenal bulb with visualization of bile flow | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical success | Number of participants with a decrease in the bilirubin level ≥ 50% at day 7, or normalization at day 28 | Day 28 |
| Periprocedural adverse events: adverse events that occur during the procedure |
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Inclusion Criteria:
Exclusion Criteria:
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patients with tumoral obstruction of the distal biliary tract that have been treated by an EUS-CDS with a electrocautery enhanced LAMS
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital University | Brest | 29600 | France | |||
| University Hospital |
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Number of participants with an adverse event occuring during the procedure of EUS-CDS. ASGE lexicon will be used to grade these adverse events.
| Day 1 |
| short-term adverse events | Number of participants with an adverse event occuring between the procedure and discharge from hospital. Adverse events were rated according to the American Society for Gastrointestinal Endoscopy (ASGE) lexicon will be used to grade these adverse events. | Day 7 |
| Long-term biliary adverse events: biliary adverse events that occur after discharge from hospital. | Number of participants with a biliary adverse event occuring after discharge from hospital. Adverse events were rated according to the American Society for Gastrointestinal Endoscopy (ASGE) lexicon will be used to grade these adverse events. | Year 1 |
| Six month stent patency rate | rate of permeability of the stent 6 months after the procedure | Month 6 |
| Limoges |
| 87042 |
| France |
| Hospital Private Jean MERMOZ | Lyon | 69008 | France |
| APHM Hospital La Timone | Marseille | 29600 | France |
| University Hospital | Montpellier | 34295 | France |
| APHP Hospital Saint-Antoine | Paris | 75012 | France |
| Hospital Cournouaille | Quimper | 29000 | France |
| Hospital Jacques Lacarin | Vichy | 03200 | France |