Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	120911
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Endoscopic management of common bile duct stump fistula after choledochojejunostomy: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Wen-Fei Wang, Zhen-Yu Qiao, Zhuang Li, Ke-Zhong Zheng, Deng-Qun Sun and Ming-Hui Sheng
Funding Agency and Grant Number
Corresponding Author	Ming-Hui Sheng, Department of General Surgery, The Chinese People's Armed Police Forces Anhui Provincial Corps Hospital, No. 78 Changfeng Street, Luyang District, Hefei 230041, Anhui Province, China. shengmh17@163.com
Key Words	Residual stump fistula; Choledochojejunostomy; Endoscopic retrograde cholangiopancreatography; Common bile duct; Case report
Core Tip	Common bile duct (CBD) stump fistula is an exceedingly rare complication of choledochojejunostomy. This case report suggests that pancreaticobiliary reflux, characterized by high drainage amylase, may contribute to CBD stump fistula, potentially via pancreaticobiliary maljunction or sphincter of Oddi dysfunction. Early recognition of this possible mechanism may be clinically important. Therapeutic endoscopic retrograde cholangiopancreatography, including pancreatic duct stenting and papillary intervention, effectively resolved the fistula in this patient by relieving reflux pressure. This minimally invasive strategy may represent a feasible management option and a potential alternative to surgical reoperation in selected cases.
Citation	Wang WF, Qiao ZY, Li Z, Zheng KZ, Sun DQ, Sheng MH. Endoscopic management of common bile duct stump fistula after choledochojejunostomy: A case report. World J Gastrointest Surg 2026; In press

Received	2026-03-12 01:23
Peer-Review Started	2026-03-12 01:24
First Decision by Editorial Office Director	2026-03-26 10:03
Return for Revision	2026-03-26 10:03
Revised	2026-04-02 19:12
Publication Fee Transferred	2026-04-05 13:34
Second Decision by Editor	2026-05-22 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-05-22 03:46
Articles in Press	2026-05-22 03:46
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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