The common treatment of acute cholecystitis due to cholestasis is percutaneous transhepatic gallbladder drainage （PTGBD） or EUS-guided gallbladder drainage (EUS-GBD) or cholecystectomy. The new generation of direct vision endoscopy represented by Spy glass has successfully entered the gallbladder duct and gallbladder. On this basis, we apply similar direct visualization system for treatment.