ASGE Therapeutic EUS for Advanced Endosonographers (On-Demand) | September 2022-Building a Bridge -EDGE and EDEE

Video Transcription

Video Summary

The video is titled "Building a Bridge" and is presented by Dr. Andy Orlov, an advanced endoscopist. Dr. Orlov discusses the edge procedure, which stands for endoscopic gastro-gastric anastomosis, a technique for accessing the excluded stomach in patients who have undergone gastric bypass surgery. He explains that edge is a safe and effective procedure for accessing the remnant stomach and performing various endoscopic interventions. He suggests that the technique is particularly useful for patients who require multiple ERCPs, have indeterminate strictures, or have complications related to their gastric bypass anatomy. Dr. Orlov provides tips and techniques for performing edge, including injection of contrast to identify the remnant stomach, site selection for puncture, and suturing the stent to prevent migration. He also discusses controversies and challenges related to edge, such as the timing of ERCP, technique for closure of the fistula, and the use of suture or stent fixation devices. The video concludes with a Q&A session where the audience and online viewers ask additional questions about the edge procedure. No credits were provided for this video.

Asset Subtitle

Andrew Storm, MD

Keywords

Building a Bridge

Dr. Andy Orlov

advanced endoscopist

edge procedure

endoscopic gastro-gastric anastomosis

gastric bypass surgery

remnant stomach

endoscopic interventions