Outpatient endoscopic ultrasound Directed transGastric ERCP (EDGE) diagnoses and treats bile duct, pancreas and gallbladder issues after gastric bypass.

Surgeons can access the bypassed stomach using a new minimally invasive procedure called endoscopic ultrasound-directed transgastric ERCP (EDGE) to diagnose and remove any of these.

Oct 18, 2021 · 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.

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.

May 3, 2021 · 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 ...

We present a literature review of the EDGE technique from its inception to current, in addition to reviewing other access techniques, their advantages, disadvantages and outcomes.

Feb 9, 2022 · EDGE is an effective modality for performing ERCP in patients with RYGB anatomy and can be performed via gastrogastric or jejunogastric approaches. Persistent fistula is uncommon and can be managed endoscopically.

Jun 26, 2014 · 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.

Background: Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography (ERCP; EDGE) is an alternative to enteroscopy- and laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass anatomy.

The aim of this study was to conduct a systematic review and meta-analysis to evaluate technical success, clinical success and adverse effects of EDGE and compare it to laparoscopic ERCP (LA-ERCP) and balloon ERCP (BE-ERCP).