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Transmural approach. A: Endoscopic ultrasound-guided gallbladder drainage with proximal lumen apposing metal stent (LAMS) deployment in gallbladder; B: Endoscopic view status post LAMS placement; C: Dilation of the LAMS with through-the-scope balloon; D: Successful endoscopic ultrasound-guided cholecystogastric fistula formation using LAMS.
