Video Tip: Endoscopic Ultrasound Directed Transgastric ERCP (EDGE) with a Disposable Scope and Suturing

Video Transcription

Video Summary

In this video, Krishan Aguram, an assistant professor of medicine, discusses the challenges of performing ERCP procedures in patients who have undergone bariatric surgery. He introduces the EDGE procedure, which involves using a luminal-positional metal stent to provide regular access for ERCP. He explains how the Apollo Oversitch and X-TAC systems can be used to suture and secure the stent in place. Aguram demonstrates the procedure on a 50-year-old female patient with cholangitis, showcasing the steps involved in deploying and removing the stent. He emphasizes the importance of proper suturing and closure of the gastro-gastric fistula to prevent complications. The use of disposable scopes in EDGE procedures is also discussed.

Keywords

ERCP procedures

bariatric surgery

EDGE procedure

luminal-positional metal stent

cholangitis