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EUS-Guided Cholecystogastrostomy & Choledochoduodenostomy

Advanced, Incision-Free Biliary & Gallbladder Drainage

EUS-guided biliary and gallbladder drainage are cutting-edge endoscopic procedures for patients in whom conventional ERCP is not feasible or has failed. Using endoscopic ultrasound (EUS) guidance, these minimally invasive techniques provide internal drainage—without surgery or external tubes—resulting in faster relief and improved comfort.

Upper GI Endoscopy Equipment

When Is EUS-Guided Drainage Needed?

These procedures are considered when patients have:

  • Failed or inaccessible ERCP
  • Altered anatomy (post-surgery)
  • Severe inflammation or obstruction

They are especially valuable in acute cholecystitis and biliary obstruction where rapid decompression is required.

EUS-Guided Cholecystogastrostomy

Cholecystogastrostomy creates a controlled connection between the gallbladder and the stomach under EUS guidance.

How it works:

  • A lumen-apposing metal stent (LAMS) is placed between the gallbladder and stomach
  • Enables continuous internal drainage of infected bile
  • Avoids external drains and surgery

Best suited for:

  • High-risk surgical patients
  • Acute cholecystitis not amenable to surgery
Medical professional viewing high-definition endoscopic imagery on monitor
Modern colonoscopy medical room with advanced equipment

EUS-Guided Choledochoduodenostomy

Choledochoduodenostomy establishes a drainage pathway between the common bile duct and the duodenum.

Indications include:

  • Biliary obstruction due to stones
  • Malignant biliary obstruction
  • Failed ERCP access

This approach provides effective decompression with durable symptom relief.

Advantages Over Percutaneous Drainage

No external tubes or bags
Lower infection and dislodgement risk
Better patient comfort and mobility
Faster recovery and shorter hospital stay
Internal, physiological drainage
Medical professionals performing therapeutic intervention
Long-term patient recovery

Safety & Outcomes

When performed by experienced endoscopists, EUS-guided drainage procedures are:

  • Safe and highly effective
  • Associated with rapid symptom relief
  • Linked to lower complication rates than percutaneous approaches

Our Expertise

  • Advanced therapeutic EUS platforms
  • Experienced endoscopists trained in LAMS placement
  • Multidisciplinary biliary care
  • 24/7 support for complex biliary disorders
Advanced endoscopic treatment equipment

Get Advanced Endoscopic Care

For patients with complex biliary or gallbladder disease where ERCP isn’t an option, EUS-guided cholecystogastrostomy and choledochoduodenostomy offer a modern, minimally invasive solution.

Book a consultation today to explore advanced EUS-guided biliary drainage options.

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