Pancreatoscopy guided lithotripsy for difficult pancreatic duct stones: Evidence and treatment selection in chronic pancreatitis

doi:10.4253/wjge.122451

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Endosc. Aug 16, 2026; 18(8): 122451
Published online Aug 16, 2026. doi: 10.4253/wjge.122451

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Figure 3 Phenotype-driven treatment algorithm for difficult main pancreatic duct stones. Proposed clinical algorithm for difficult pancreatic duct stones, incorporating patient symptoms, stone and duct features, access anatomy, local expertise, and expected treatment burden to guide selection among endoscopic retrograde cholangiopancreatography extraction, pancreatoscopy-guided lithotripsy, extracorporeal shock wave lithotripsy-centered therapy, stricture-focused decompression, and early surgical consultation. MPD: Main pancreatic duct; CT: Computed tomography; ERCP: Endoscopic retrograde cholangiopancreatography; ESWL: Extracorporeal shock wave lithotripsy.

Citation: Hashimoto R. Pancreatoscopy guided lithotripsy for difficult pancreatic duct stones: Evidence and treatment selection in chronic pancreatitis. World J Gastrointest Endosc 2026; 18(8): 122451
URL: https://www.wjgnet.com/1948-5190/full/v18/i8/122451.htm
DOI: https://dx.doi.org/10.4253/wjge.122451

Hashimoto R. Pancreatoscopy guided lithotripsy for difficult pancreatic duct stones: Evidence and treatment selection in chronic pancreatitis. World J Gastrointest Endosc 2026; 18(8): 122451 [DOI: 10.4253/wjge.122451]

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