Systematic review of transgastric ERCP in Roux-en-Y gastric bypass patients

Banerjee, Nikhil; Parepally, Mayur; Byrne, Thomas; Pullatt, Rana; Coté, Gregory A.; Elmunzer, B. Joseph

doi:10.1016/j.soard.2017.02.005

Cited by 64 publications

(64 citation statements)

References 30 publications

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“…Our findings are comparable with the recently published systematic review of 26 studies by Banerjee et al that included 509 laparoscopic and open trans-gastric ERCP cases 34 . The success rate in reaching the papilla, cannulation, and performing therapeutic intervention were 98.9%, 98.5%, and 98.5%, respectively.…”

Section: Accepted Manuscriptsupporting

confidence: 92%

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Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass

Abbas¹,

Strong²,

Diehl³

et al. 2018

Gastrointestinal Endoscopy

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Section: Accepted Manuscriptsupporting

confidence: 92%

“…The success rate in reaching the papilla, cannulation, and performing therapeutic intervention were 98.9%, 98.5%, and 98.5%, respectively. Adverse events were reported in 14% of cases, with lower G tube site infection (3.7%) and laparoscopy-associated bleeding (0.9%), and no reported death compared with our findings 34 .…”

Section: Accepted Manuscriptsupporting

confidence: 60%

Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass

Abbas¹,

Strong²,

Diehl³

et al. 2018

Gastrointestinal Endoscopy

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“…LA-ERCP has high technical success rates (papilla identification and cannulation) even though it has higher complication rates [10]. However, LA-ERCP is associated with longer hospital stays, higher hospital costs, increased complications, and requirement of multiple teams to do the procedure, all of which are disincentives to performing biliary access via this route [11,12].…”

Section: Introductionmentioning

confidence: 99%

EDGE in Roux-en-Y gastric bypass: How does it compare to laparoscopy-assisted and balloon enteroscopy ERCP: a systematic review and meta-analysis

et al. 2020

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Background and study aims Endoscopic ultrasound-directed transgastric ERCP (EDGE) is a new endoscopic procedure to perform ERCP in Roux-en-y gastric bypass (RYGB) patients. 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). Patients and methods We conducted a comprehensive search of several databases and conference proceedings including PubMed, EMBASE, Google-Scholar, LILACS, SCOPUS, and Web of Science databases to identify studies reporting on EDGE, LA-ERCP, and BE-ERCP. The primary outcome was to evaluate technical and clinical success of all three procedures and the secondary analysis focused on calculating the pooled rate of all adverse events (AEs), along with the commonly reported AE subtypes. Results Twenty-four studies on 1268 patients were included in our analysis with the majority of the population being males with mean age 53.72 years. Pooled rates of technical and clinical success with EDGE wer 95.5 % and 95.9 %, with LA-ERCP were 95.3 % and 92.9 % and were BE-ERCP were 71.4 % and 58.7 %, respectively. Pooled rates of all AEs with EDGE were 21.9 %, with LA-ERCP 17.4 % and with BE-ERCP 8.4 %. Stent migration was the most common AE with EDGE with 13.3 % followed by bleeding with 6.6 %. Conclusion Our meta-analysis demonstrated that the technical and clinical success of EDGE procedure is better than BE-ERCP and comparable to that of LA-ERCP in RYGB patients. EDGE also has a similar safety profile as compared to LA-ERCP but has higher AE rate as compared to BE-ERCP.

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“…Aside from ERCP, surgical or interventional options to access the biliary tree include laparoscopic or open common bile duct exploration, percutaneous transhepatic instrumentation of the biliary tree, transgastric ERCP, transenteric endoscopic CP, and ERCP with special endoscopes, including colonoscopes or balloon enteroscopes [39][40][41]. The transgastric approach allows for direct antegrade access to the biliary tree regardless of the length of the Roux limb, but it is neither a purely endoscopic approach nor is recommended in the acute setting [42]. In addition, it requires the ERCP to be performed in the supine, rather than prone position, which may increase the failure rate for the endoscopist.…”

Section: Choledocholithiasismentioning

confidence: 99%

Systematic review of management of gallbladder disease in patients undergoing minimally invasive bariatric surgery

Leyva‐Alvizo

Arredondo-Saldaña

Leal-Isla-Flores

et al. 2020

Surgery for Obesity and Related Diseases

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Systematic review of transgastric ERCP in Roux-en-Y gastric bypass patients

Cited by 64 publications

References 30 publications

Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass

Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass

EDGE in Roux-en-Y gastric bypass: How does it compare to laparoscopy-assisted and balloon enteroscopy ERCP: a systematic review and meta-analysis

Systematic review of management of gallbladder disease in patients undergoing minimally invasive bariatric surgery

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