This article, published in the journal Endoscopy, discusses two cases of endoscopic treatment for bile duct stones after bariatric Roux-en-Y gastric bypass surgery. The authors describe a technique called endoscopic ultrasound-directed transgastric ERCP (EDGE), which involves using endoscopic ultrasound to puncture the excluded stomach and create a gastro-gastrostomy. The patients underwent sphincterotomy and stone removal, followed by closure of the gastric fistula. The authors emphasize the effectiveness and safety of this minimally invasive technique for treating pancreaticobiliary disorders after gastric bypass surgery. [Extracted from the article]