Jefferson University Hospitals

EDGE (Endoscopic ultrasound Directed transGastric ERCP)

Endoscopic ultrasound Directed transGastric ERCP (EDGE) is available for people who experience bile duct, pancreas and gall bladder issues after gastric bypass surgery. This safe and effective procedure can be performed in an outpatient setting by physicians who specialize in advanced treatments in Jefferson's Division of Gastroenterology and Hepatology.

What Does EDGE Involve?

graphic of the bile duct and EDGE

Click to enlarge.

Your physician who specializes in advanced procedures will complete the EDGE in two parts:

Part 1: You will be sedated by our anesthesiology team. Your medical team will use a special endoscopic ultrasound scope to view both inside and outside the intestine to help place a stent to connect the gastric pouch to the excluded stomach. This creates a clear pathway for them to reach the bile duct and pancreas to perform various treatments.

Part 2: Once the two parts of the stomach are reconnected by the stent, your healthcare team can perform standard procedures to diagnose tumors, remove gallstones and relieve obstructions in the bile or pancreatic duct. Unless you are having an emergency, the second part of the EDGE procedure will occur two to three weeks after the first step.

Make an Appointment

Call 1-800-JEFF-NOW (1-800-533-3669) to make an appointment, or request an appointment online.