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Barham K. Abu Dayyeh, Todd H. Baron 

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1 Development of a Hybrid Percutaneous-Endoscopic Approach for the Complete Clearance of Gallstones 
Barham K. Abu Dayyeh, Todd H. Baron  Clinical Gastroenterology and Hepatology  Volume 10, Issue 8, Pages (August 2012) DOI: /j.cgh Copyright © 2012 AGA Institute Terms and Conditions

2 Figure 1 A hybrid percutaneous-endoscopic approach for complete clearance of gallstones. (A) Wire access to the gallbladder through a mature PC tract. (B) Placement of 2 overlapping, fully covered SEMS through the PC tract into the gallbladder. (C, D) Removal of gallstones through the SEMS. (E) Complete clearance of gallstones. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions

3 Figure 2 (A) Fluoroscopy images depicting the creation of a large-diameter percutaneous gallbladder access through a previous percutaneous cholecystostomy tube tract using fully covered self-expandable metal stents. (B) A variety of endoscopic tools and techniques used for extraction of a large number of stones from the gallbladder. (C) Percutaneous entry site before and immediately after metal stent removal. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions


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