The provider places a catheter through the skin (percutaneous placement) into the bile ducts to allow internal and external drainage of bile, a substance produced in the liver and stored in the gallbladder that helps break down food. He performs this procedure using image guidance such as ultrasound and/or fluoroscopy, technologies that display live images on a video monitor. He may also perform cholangiography, a radiological procedure to image the inside of the bile ducts by injecting a contrast dye into the bile ducts.
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