Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan presents this video case "Transgastric large gallstone extraction in a patient with acute cholecystitis through a lumen-apposing metal stent (with video)" from the April issue. A Tokyo guideline in 2013 proposed that percutaneous transhepatic gallbladder drainage (PTGBD) is considered a safe alternative …