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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. The objective of this study (Institutional Ethic Committee approval number 54011816.6.0000.0068) was to report the first How to cite this article: Hourneaux-de-Moura DT, Farias GFA, Brunaldi VO, Tranquillini CV, Dos-Santos MEL, Matuguma SE, Jukemura J, HourneauxDe-Moura EG. Lumen-apposing metal stent and eletrocautery enhanced delivery system (Hot Axiostm) for drainage of walled-off necrosis: the first brazilian case report. ABCD Arq Bras Cir Dig. 2019;32(1):e1430. DOI: /10.1590/0102-672020180001e1430 Letter to the Editor

abcd

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