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CC BY-NC-ND 4.0 · Endosc Int Open 2023; 11(05): E527-E528
DOI: 10.1055/a-2075-9836
Editorial

Living on the EDGE: Preparing for long-term success following EDGE procedure

Mark Hanscom
1   Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States
,
Ryan Law
1   Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, United States
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Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard therapeutic procedure for the management of pancreaticobiliary pathology. However, surgically-altered anatomy (SAA) poses a challenge for traditional ERCP, often necessitating the use of additional equipment and techniques to reach the biliary orifice. Roux-en-Y gastric bypass (RYGB) anatomy can be particularly challenging, owing to the length of roux limb that must be traversed in order to reach the major papilla. Several techniques have been developed to help overcome this challenge, including balloon-assisted ERCP (BAE) and laparoscopy-assisted ERCP (LAE); however, the former is associated with suboptimal success rates, and the latter requires significant additional resources and the inherent risks that come with laparoscopic surgery.



Publication History

Article published online:
26 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Refers to:

Endoscopic ultrasound-directed transgastric ERCP (EDGE): A multicenter US study on long-term follow-up and fistula closureEndosc Int Open 2023; 11(05): E529-E537
DOI: 10.1055/a-2057-5984

 

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