Orta hepatis ( cases) pancreatic duct leakage ( circumstances),cbd stone ( cases),biliary stricture with obstructive jaundice ( cases). The success rate of EPDS was . Acute complications of EPDS integrated 3 cases of mild pancreatitis and no other complication was noted. Conclusion: EPDS showed a very low incidence of complications as well as a higher rate of remedy achievement; hence,EPDS is a comparatively safe procedure when performed by an specialist endoscopist References . Having said that,the advent of EUSbiliary drainage delivers a further endoscopic suggests of attaining CBD access in the very same session of failed ERCP. Nevertheless,how single session EUSrendezvous ERCP (ERV) compares to percutaneous biliary drainage just isn’t recognized. Aims Procedures: This was a multicentre study ( Asian hospitals,university affiliated) of all sufferers that underwent single session EUSrendezvous ERCP just after failed CBD access by ERCP,performed amongst January and October . The outcomes of these individuals had been retrospectively compared to these that percutaneousrendezvous ERCP or antegrade stenting (PTBD) before the introduction from the EUS approach. These procedures have been believed to be comparable as the purpose of your procedures was to attain transpapillary CBD access for subsequent interventions. The primary outcome parameters incorporated the achievement rate in gaining CBD access,adverse occasion prices,the amount of sessions of interventions essential in each and every patient to obtain CBD access and luminal PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/21381057 drainage. Final results: A total of sufferers have been included (ERV:PTBD :). There were no differenced in background demographics (table. A higher results rate in obtaining CBD access vs ,P) and achieving luminal drainage vs . ,P) was observed in both groups. This was doable in a single session in all individuals within the ERV group. Whilst,the median (variety) variety of sessions needed to acquire CBD access inside the PTBD arm was ,P Similarly,considerably a lot more interventions had been necessary in the PTBD group to achieve transluminal drainage ( sessions,P). The adverse events rates were comparable in between the groups vs . ,P). One of the most popular adverse events have been cholangitis within the ERV arm and tube dislodgement inside the PTBD group. Conclusion: Singlesession EUSrendezvous ERCP may well replace PTBD as the procedure of choice in patients with failed ERCP. The process makes it possible for very same session CBD access and luminal drainage with avoidance tube associated adverse events. References . Khashab MA,Valeshabad AK,Afghani E,Singh VK,Kumbhari V,Messallam A,Saxena P,El Zein M,Lennon AM,Canto MI and Kalloo AN. Ruszkiewicz,N. Q. Nguyen Medicine,University of Adelaide,Pathology,Royal Adelaide Hospital,Adelaide,AustraliaContact Email Address: quoc.nguyenhealth.sa.gov.au Introduction: Endoscopic ultrasound (EUS) guided tissue acquisition,with a fine needle,enables purchase T0901317 cytologic andor histologic diagnosis of lesions within or adjacent to the gastrointestinal tract (GIT). Offered most needles employed so far are fine needle aspiration (FNA),the “traditional” primary outcome has been a cytological diagnosis. The recent improvement of corelike needles aims to enhance the quantity of tissue acquired for “histological” assessment. Apart from the traditional “tissue diagnosis”,there has been no technique or criteria to objectively quantify the tissue obtained from diverse EUS FNA needles. This might clarify for the indifferences in trials that compared FNA versus FNB needles. Aims Methods: The aim was to evaluate an objective strategy to quantify the tissue acquired by E.