Endoscopic Ultrasound Guided Choledocoduodenostomy With the Lumen Apposing Metal Stent [Axios® Stent]
Endoscopic Ultrasound Guided Choledocoduodenostomy With the Lumen Apposing Metal Stent [Axios® Stent]
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.
Inclusion Criteria:

 -  patients with tumoral obstruction of the distal biliary tract that have been treated
 by an EUS-CDS with a electrocautery enhanced LAMS

 Exclusion Criteria:

 -  < 18 years old

 -  refusal to participate