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Endoscopic Cholecystoduodenostomy

Endoscopic Ultrasound Cholecystoduodenostomy Endoscopic Ultrasound Cholecystoduodenostomy

The illustration demonstrates the steps for the endoscopic ultrasound guided approach for the placement of a self-expanding stent between an inflamed gallbladder and the duodenum to drain bile from the gallbladder. (A) Catheter punctures and cauterizes a track between the duodenum and gallbladder; (B) catheter is pulled back, releasing the first flange of the stent within the gallbladder, and pulling together the gallbladder and the duodenal walls; and then (C) the stent flanges hold the tissue layers tightly together and prevent movement.