This innovative endoscopic procedure creates an easy pathway to access your bile ducts and pancreas to treat any issues that potentially resulted from gastric bypass surgery. EDGE involves placing a stent to connect your gastric pouch (created during bypass surgery) to …

2022年2月9日 · Endoscopic ultrasound-directed transgastric ERCP (EDGE) by creating an anastomosis from the gastric pouch or jejunum to the excluded stomach allows performance of ERCP in Roux-en-Y gastric bypass (RYGB) anatomy. Concern for persistent fistula following stent removal and sparse data limit adoption.

2021年5月3日 · EUS-directed transgastric ERCP (EDGE) has become a viable therapeutic option in patients with Roux-en-Y gastric bypass (RYGB) anatomy, especially in patients with a history of cholecystectomy. 1,2 This technique seems to have overcome the suboptimal efficacy of enteroscopy-assisted ERCP and the safety issues concerning laparoscopy-assisted ERCP,...

2021年10月18日 · One of the most valuable innovations in the past decade is the development and widespread implementation of the so-called EDGE (EUS-directed transgastric ERCP) procedure, which allows ERCP to be performed via a transluminal route in patients who have previously undergone a Roux-en-Y gastric bypass.

2014年6月26日 · This case report describes the first entirely endoscopic internal EDGE procedure using a lumen-apposing metal stent to create a gastrogastric fistula in a RYGB patient to perform single-session antegrade ERCP.

EDGE is a minimally invasive, completely endoscopic approach using endoscopic ultrasound to create a temporary fistula by placing a lumen-apposing metal stent (LAMS) that connects either the gastric pouch or the proximal jejunum to the excluded stomach.

EUS-directed transgastric ERCP (EDGE) is a relatively new technique that has been made possible by the introduction of the lumen-apposing metal stent (LAMS). This procedure allows access to the biliary tract in patients with Roux-en-Y gastric bypass (RYGB) anatomy without the need of surgical intervention or balloon-assisted endoscopic procedures.

EUS–directed transgastric ERCP (EDGE) is the newest option in the RYGB population. In this method, EUS is used to insert a lumen-apposing metal stent connecting the gastric pouch or proximal efferent limb to the gastric remnant, allowing passage and therefore direct access to the duodenum and the major papilla.

2023年2月15日 · Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE) has recently emerged as an alternate and efficient approach. As data regarding EDGE continues to evolve, concerns about safety and efficacy remain, limiting wide adoptability.

Endoscopic ultrasound-directed transgastric Endoscopic Retrograde Cholangiopancreatography (EDGE) is a novel technique for managing pancreaticobiliary diseases in patients with a history of Roux-en-Y Gastric Bypass (RYGB). Obesity affects about 93.3 million US adults, and in 2017, there were 228,000 total bariatric procedures 1 2 .