Evidence map›Paper›PMID 34212281›Full record

ReviewCurrent gastroenterology reports2021

Review of ERCP Techniques in Roux-en-Y Gastric Bypass Patients: Highlight on the Novel EUS-Directed Transgastric ERCP (EGDE) Technique.

Harshit S Khara, Swetha Parvataneni, Steven Park, Jihye Choi, Truptesh H Kothari, Shivangi T Kothari

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Current gastroenterology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Biliopancreatic Endoscopy in Altered Anatomy.Medicina (Kaunas, Lithuania) · 2021
    Pooled it
  4. Article
  5. Review
  6. Article
  7. Anatomical Alterations and Endoscopic Strategies After Upper Gastrointestinal Surgery.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. [Cholecystolithiasis and intestinal bypass procedures].Chirurgie (Heidelberg, Germany) · 2023
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Harshit S KharaDepartment of Gastroenterology, Geisinger Medical Center, Danville, PA, 17822, USA. hskhara@geisinger.edu.ORCID http://orcid.org/0000-0003-2850-625X
Swetha ParvataneniDepartment of Medicine, Geisinger Medical Center, Danville, PA, 17822, USA.
Steven ParkDepartment of Medicine, University of Rochester Medical Center, Rochester, NY, 14642, USA.
Jihye ChoiCollege of Art and Design, Rochester Institute of Technology, Rochester, NY, 14623, USA.
Truptesh H KothariDepartment of Gastroenterology, University of Rochester Medical Center, Rochester, NY, 14642, USA.
Shivangi T KothariDepartment of Gastroenterology, University of Rochester Medical Center, Rochester, NY, 14642, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewHepatobiliary complications are common in Roux-en-Y gastric bypass (RYGB) patients. Despite development of multiple surgical and endoscopic access techniques over the years, ERCP using standard duodenoscope remains challenging in these patients due to the altered anatomy. RECENT

findingsLimited success with enteroscope-assisted and laparoscope-assisted ERCP led to the evolution of the novel EUS-directed transgastric ERCP (EDGE) procedure, with variations of this technique termed as Gastric Access Temporary for Endoscopy (GATE), EUS-guided TransGastric ERCP (EUS-TG-ERCP), EUS-guided GastroGastrostomy-assisted ERCP (EUS-GG-ERCP), and EUS-directed transgastric intervention (EDGI). EDGE has high technical (100%) and clinical success rates (60-100%), lower adverse event rate (1.5-7.6%), and up to 20% access stent migration rate; without any significant weight changes. EDGE has significantly shorter procedure time (73vs184min), post-procedural hospital stays (0.8vs2.65 days) and is more cost effective compared to other modalities. EDGE technique addresses the challenges of RYGB anatomy as a minimally invasive, clinically successful, fully endoscopic, and cost-effective option. We present a literature review of the EDGE technique from its inception to current, in addition to reviewing other access techniques, their advantages, disadvantages and outcomes.

Indexed as

Gastric BypassCholangiopancreatography, Endoscopic RetrogradeEndosonographyHumansStomachDevice assisted ERCPEndoscopic retrograde Cholangiopancreatography (ERCP)Endoscopic ultrasound directed transGastric ERCP (EDGE)Gastric access temporary for endoscopy (GATE)Laparoscope-assisted ERCP (LA-ERCP)Roux-en-Y gastric bypass (RYGB)

Identifiers

PMID34212281
PMCPMC8249251

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.