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Infundibullotomy or the method of endoscopic choledochoduodenostomy is an alternative to surgical bilio-digestive anastomosis for common bile duct obstructions due to impacted stone in the ampulla de Vater when occasionally standard endoscopic sphincterotomy was unsuccessful. In addition the endoscopic choledochoduodenostomy is a method described as final palliative treatment in elderly patients and/or those as high operative risk with malignant obstructions in the distal part of the common bile duct.
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