EDGE involves placing a stent to connect your gastric pouch (created during bypass surgery) to your excluded stomach. Through this connected passageway, your endoscopists can diagnose tumors, remove gallstones and relieve any obstructions in the bile or pancreatic duct.

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.

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.

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. Although short-term results are promising, the long-term outcomes are not known.

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.

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.

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,...

BACKGROUND : Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE) has emerged as a viable completely endoscopic method for performing pancreaticobiliary interventions in patients with Roux-en-Y gastric bypass anatomy. The aims of this systematic review we …

Recently, endoscopic ultrasound (EUS)-directed transgastric ERCP(EDGE)hasemergedasanoptionforERCPafterRYGB[10, 13–16]. This technique involves the creation of a temporary transgastric fistula by placinga lumen-apposing metal stent (LAMS) that connects either the gastric pouch or the proximal jejunum tothe excluded stomach ( Fig.1).

EDGE uses a lumen-apposing metal stent (LAMS) to create a transluminal gateway from the gastric pouch or the proximal jejunal efferent limb to the remnant stomach to perform ERCP using a standard duodenoscope. In studies of EDGE, it has shown to have a high technical success rate with low risk of complications and lower hospitals costs 14 15 16 17.