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anatomy biliary bladder block cholecystitis cholelithiasis bile diagram anatomical digestive disease duct gall gallbladder gallstone gallstones holangitis human medical medicine organ pain pancreas pancreatitis stone science system vector surgery symptom cholecystectomy choledocholithiasis drainage endoscopic operative transpapillary obstruction remove catheter obstructed procedure removal cholecystostomy transhepatic treatment blockage endoscope