title: Evaluation of the AXIOS stent for the treatment of pancreatic fluid collections.
abstract: BACKGROUND
  Endoscopic ultrasound guided translumenal drainage of pancreatic fluid collections (PFCs) has been widely practiced for over a decade, using conventional plastic and self-expandable metal stents. The use of such stents for transmural drainage is off-label and limited by the lack of lumen-to-lumen anchorage, which can lead to leakage, migration and tissue trauma.
  
  
  METHODS
  Novel stent designs dedicated to applications of translumenal drainage have recently emerged and promise to make transmural drainage quicker, safer, and more effective. Achieving faster resolution of the fluid collection, decreasing adverse events, decreasing recurrence rates, and lowering costs are critical to advancing the endoscopic management of PFCs. Expert commentary: Our paper suggests that the AXIOS stent is an innovative therapeutic approach for PFC drainage with excellent efficacy, safety, and relatively few adverse outcomes. Preliminary reports appear promising and large multicenter prospective studies are needed in the future to further determine its safety and efficacy.
authors.affiliation: a Gastroenterology Department , Centro Hospitalar São João , Porto , Portugal.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Rodrigues-Pinto
authors.affiliation: b Division of Gastroenterology and Hepatology , University of North Carolina , Chapel Hill , North Carolina , USA.
authors.forename: Todd H
authors.initials: TH
authors.lastname: Baron
mesh_terms: D019160:Endosonography; D006801:Humans; D010189:Pancreatic Juice / Q000378:metabolism*; D013048:Specimen Handling / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome
keywords: AXIOS; Lumen apposing metal stent; endoscopic drainage; endoscopic ultrasound; pancreatic fluid collections