338 impact of eus-directed transgastric ercp (edge procedure) access route on technical success and adverse events: a multi-center experience

Endoscopic ultrasound (EUS) directed transgastric ERCP (EDGE) is an alternative method of accessing the remnant stomach to perform transpapillary ERCP in patients with Roux-en-Y gastric bypass. In EDGE, the distal flange of a lumen-apposing metal stent (LAMS) is placed in the remnant stomach and the proximal flange theoretically in the gastric pouch. Due to anatomic considerations, better visualization of the remnant stomach may lead to inadvertent or volitional transjejunal LAMS deployment. LAMS access route and its potential effects on adverse outcomes have not been studied.

Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Austin L. Chiang, Monica Gaidhane, David E. Loren, Michel Kahaleh, Alexander Schlachterman, Jennifer Millman, Amy Tyberg, Jose Nieto, Prashant Kedia, Paul R. Tarnasky, Isaac Raijman, Harshit S. Khara, David L. Diehl, Anoop Prabhu, Thomas E. Kowalski Tags: Oral abstract Source Type: research