06 Nov, 2018

LUMEN-APPOSING METAL STENT AND ELETROCAUTERY ENHANCED DELIVERY SYSTEM (HOT AXIOSTM) FOR DRAINAGE OF WALLED-OFF NECROSIS: THE FIRST BRAZILIAN CASE REPORT

Diogo Turiani HOURNEAUX DE-MOURA
Galileu Ferreira Ayala FARIAS
Vitor Ottoboni BRUNALDI
Caio Vinicius TRANQUILLINI
Marcos Eduardo Lera DOS-SANTOS
Sérgio Eijii MATUGUMA
José JUKEMURA
Eduardo Guimarães HOURNEAUX DE-MOURA
DOI: 10.1590/0102-672020180001e1430
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INTRODUCTION

Pancreatic fluid collections are acute complications following pancreatitis1. They are usually self-limited and further interventions are only indicated for growing, symptomatic or complicated cases, such as infected or bleeding collections2. Currently, EUS-guided drainage is the gold-standard treatment7. The AXIOS is a lumen-apposing metal stent specifically developed for the treatment of pancreatic fluid collections. The juxtaposed lumen improved the limitations of others drainage devices. This characteristic reduces the migration and obstruction rates, and the necessity of stent substitutions. The Hot-AXIOS is an insulated delivery system plugged into the stent that allows transmural deployment of the AXIOS and exempts the guidewire placement and dilation of the tract10.


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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD.

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