{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:42:35Z","timestamp":1791639755555,"version":"4.3.4"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,7,28]],"date-time":"2024-07-28T00:00:00Z","timestamp":1722124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Endoscopic ultrasound\u2010directed transgastric endoscopic retrograde cholangiopancreatography (ERCP; EDGE) is proposed as a less invasive alternative to laparoscopy\u2010assisted ERCP. However, postponing ERCP for 1\u20132\u2009weeks to reduce the risk of lumen\u2010apposing metal stent (LAMS) migration may not be practical in urgent cases such as cholangitis, leading to increased procedural burden. This study aimed to assess the feasibility and safety of a single\u2010session EDGE utilizing a dedicated over\u2010the\u2010scope fixation device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of prospectively collected data from three referral centers was performed, including consecutive single\u2010session EDGE procedures with the Stentfix device, utilizing only 20\u2009\u00d7\u200910\u2009mm LAMS. The primary outcome was LAMS migration, and key secondary outcomes included adverse events and technical success.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty patients (mean age 59 [standard deviation (SD)\u2009\u00b1\u200911.3] years, 65.0% female) with a predominantly classic Roux\u2010en\u2010Y gastric bypass history (90.0%, mini\u2010bypass 10.0%) underwent ERCP for indications such as common bile duct stones (60.0%), cholangitis (25.0%), or biliary pancreatitis (15.0%). No LAMS migration occurred, and technical success was achieved in 95.0%. Over a median follow\u2010up of 102\u2009days (interquartile range [IQR] 24.8\u2013182), two adverse events were reported (10.0%), comprising postprocedural pain (grade I) and post\u2010ERCP pancreatitis (grade II).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While acknowledging potential contributions from LAMS orientation and stent caliber, our data suggest that utilizing a dedicated over\u2010the\u2010scope stent fixation device may effectively prevent LAMS migration during single\u2010session EDGE without the need for endoscopic suturing.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.14879","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T04:47:00Z","timestamp":1722228420000},"page":"176-182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Single\u2010session endoscopic ultrasound\u2010directed transgastric endoscopic retrograde cholangiopancreatography with a dedicated over\u2010the\u2010scope fixation device: Feasibility study (with video)"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2039-5022","authenticated-orcid":false,"given":"Michiel","family":"Bronswijk","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology University Hospital Gasthuisberg, University of Leuven  Leuven Belgium"},{"name":"Department of Gastroenterology and Hepatology Imelda Hospital  Bonheiden Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emine","family":"G\u00f6kce","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Ghent University Hospital  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"Hindryckx","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Ghent University Hospital  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Schalk","family":"Van der Merwe","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology University Hospital Gasthuisberg, University of Leuven  Leuven 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