EUS Guided Cholecystogastrostomy

Gallbladder is an organ located just below the liver in right side of the abdomen. Inflammation of the gallbladder can occur in a condition called, “cholecystitis”. Patients often experience abdominal pain especially in the right side of the abdomen, fever and sometimes shoulder pain. This occurs due to blockage of the “cystic duct”, a tube connecting gallbladder to the bile duct.

In this procedure, under endoscopic sonography guidance the vessels are identified, followed by advancement of the needle and placement of a coil. The coil leads to clot formation and eventually the vessel gets obliterated.