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Schematic showing the use of endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE) to facilitate endoscopic retrograde cholangiopancreatography in a patient with Roux-en-Y anatomy. In this example, a lumen-apposing metal stent (LAMS) is used to create a gastro-gastrostomy and access the excluded stomach.
