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World J Gastrointest Surg. Sep 27, 2026; 18(9): 122002
Published online Sep 27, 2026. doi: 10.4240/wjgs.122002
Published online Sep 27, 2026. doi: 10.4240/wjgs.122002
Pancreatic duct stone management strategies: Advances and clinical practice in chronic pancreatitis
Mao-Lin Wan, Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Hubei University of Science and Technology, Xianning 430000, Hubei Province, China
Yong-Jun Chen, Department of Biliary-Pancreatic Surgery, Tongji Hospital, Wuhan 430030, Hubei Province, China
Bing Wang, Department of Hepatic-Biliary-Pancreatic Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China
Author contributions: Wan ML performed the literature search and drafted the manuscript; Chen YJ participated in manuscript drafting, formatting, revision, and institutional perspective; Wang B provided critical input on the intellectual content, and reviewed and revised the manuscript; and all authors have approved the final version of the manuscript.
AI contribution statement: An AI tool (DeepSeek) was used solely for linguistic refinement and formatting assistance. No AI tool was involved in the generation of research data, interpretation of results, or formulation of conclusions. All AI-generated outputs were critically reviewed and revised by the authors.
Conflict-of-interest statement: The authors report no relevant conflicts of interest for this article.
Corresponding author: Bing Wang, PhD, Associate Chief Physician, Department of Hepatic-Biliary-Pancreatic Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, No. 1095 Jiefang Road, Wuhan 430030, Hubei Province, China.
Received: April 9, 2026
Revised: May 9, 2026
Accepted: July 1, 2026
Published online: September 27, 2026
Processing time: 159 Days and 16.9 Hours
Revised: May 9, 2026
Accepted: July 1, 2026
Published online: September 27, 2026
Processing time: 159 Days and 16.9 Hours
Core Tip
Core Tip: This minireview comprehensively addresses pancreatic duct stones, a major complication of chronic pancreatitis. It covers pathogenesis and contemporary diagnostic evaluation, and provides a critical analysis of therapeutic strategies, including endoscopy, lithotripsy, and surgery. By integrating current evidence, it offers a framework for constructing individualized, stepwise treatment regimens to optimize patient management.