Endoscopic Ultrasound-Directed Transgastric ERCP (EDGE) Utilization of Trends Among Interventional Endoscopists

Shah-Khan, Sardar M.; Zhao, Eric; Tyberg, Amy; Sarkar, Sardar; Shahid, Haroon; Duarte-Chavez, Rodrigo; Gaidhane, Monica; Kahaleh, Michel

doi:10.1007/s10620-022-07650-1

Cited by 7 publications

(5 citation statements)

References 24 publications

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“…The laparoscopic approach involves placement of a 15-mm port directly into the remnant stomach to allow for insertion of the endoscope for intraoperative ERCP. The EDGE procedure is quickly replacing laparoscopic-assisted ERCP due to its entirely endoscopic approach, acceptable risk profile, and technical success rates in the 90% to 100% range . Moreover, in retrospective studies, the EDGE procedure has been found to have similar rates of stone clearance and adverse events as laparoscopic common bile duct exploration .…”

Section: Discussion and Observationsmentioning

confidence: 99%

Abdominal Pain After Roux-en-Y Gastric Bypass

Fry,

Finks

2023

JAMA Surg

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ImportanceRoux-en-Y gastric bypass (RYGB) remains one of the most commonly performed operations for morbid obesity and is associated with significant long-term weight loss and comorbidity remission. However, health care utilization rates following RYGB are high and abdominal pain is reported as the most common presenting symptom for those seeking care.ObservationsGiven the limitations of physical examination in patients with obesity, correct diagnosis of abdominal pain following RYGB depends on a careful history and appropriate use of radiologic, laboratory and endoscopic studies, as well as a clear understanding of post-RYGB anatomy. The most common etiologies of abdominal pain after RYGB are internal hernia, marginal ulcer, biliary disease (eg, cholelithiasis and choledocholithiasis), and jejunojejunal anastomotic issues. Early identification of the etiology of the pain is essential, as some causes, such as internal hernia or perforated gastrojejunal ulcer, may require urgent or emergent intervention to avoid significant morbidity. While laboratory findings and imaging may prove useful, they remain imperfect, and clinical judgment should always be used to determine if surgical exploration is warranted.Conclusions and RelevanceThe etiologies of abdominal pain after RYGB range from the relatively benign to potentially life-threatening. This Review highlights the importance of understanding key anatomical and technical aspects of RYGB to guide appropriate workup, diagnosis, and treatment.

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Section: Discussion and Observationsmentioning

confidence: 99%

Abdominal Pain After Roux-en-Y Gastric Bypass

Fry,

Finks

2023

JAMA Surg

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“…The patient remained asymptomatic after cholecystectomy. The advantages of EDGE include its higher success rate and lower invasiveness, shortening hospitalization compared with endoscopy-and laparoscopy-assisted ERCP [3,4]. It is suggested as a firstline approach in expert centers.…”

Section: E-videosmentioning

confidence: 99%

Endoscopic treatment of bile duct stones after bariatric Roux-en-Y gastric bypass through endoscopic ultrasound-directed transgastric ERCP

Vara-Luiz,

Nunes,

Pinto-Marques

et al. 2023

Endoscopy

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“… 1 In patients with Roux-en-Y gastric bypass anatomy, EUS-directed transgastric ERCP (EDGE) has gained popularity for peroral pancreaticobiliary intervention. 2 For patients with non–gastric bypass Roux-en-Y anatomy, the creation of an enteroenterostomy has emerged as a viable solution to facilitate efficient peroral ERCP. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

EUS-guided enteroenterostomy to facilitate peroral altered anatomy ERCP

Srivastava,

Moran,

Elmunzer

2024

VideoGIE

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Endoscopic Ultrasound-Directed Transgastric ERCP (EDGE) Utilization of Trends Among Interventional Endoscopists

Cited by 7 publications

References 24 publications

Abdominal Pain After Roux-en-Y Gastric Bypass

Abdominal Pain After Roux-en-Y Gastric Bypass

Endoscopic treatment of bile duct stones after bariatric Roux-en-Y gastric bypass through endoscopic ultrasound-directed transgastric ERCP

EUS-guided enteroenterostomy to facilitate peroral altered anatomy ERCP

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