Publication Name	World Journal of Gastroenterology
Manuscript ID	123800
DOI	10.3748/wjg.123800
Country	South Korea

Category	Gastroenterology & Hepatology
Manuscript Type	Correspondence
Article Title	Letter to the Editor: De-escalating surveillance in branch duct intraductal papillary mucinous neoplasms: Balancing surveillance burden with long-term oncologic risk
Manuscript Source	Unsolicited Manuscript
All Author List	Yun-Chae Lee and Hyung Ku Chon
Funding Agency and Grant Number	Funding Agency Grant Number Biomedical Research Institute Funds of Jeonbuk National University Hospital
Corresponding Author	Hyung Ku Chon, MD, PhD, Professor, Department of Internal Medicine, Wonkwang University College of Medicine, Institute of Wonkwang Medical Science, Wonkwang University Hospital, 895 Muwang-ro, Iksan 54538, Jeonbuk, South Korea. gipb2592@wku.ac.kr
Key Words	Intraductal papillary mucinous neoplasm; Surveillance; Pancreatic cancer; De-escalation; Cancer antigen 19-9; Concomitant pancreatic ductal adenocarcinoma
Core Tip	This letter critically appraises the study by Hopley et al on the de-escalation of branch duct-intraductal papillary mucinous neoplasm surveillance. While the proposed criteria for de-escalation are timely, we emphasize that the front-loaded nature of surgery may partly reflect discovery bias and therefore may not fully represent the intrinsic biological timing of disease progression. We highlight the need for tailored surveillance based on individual surgical fitness and the persistent long-term risk of dual carcinogenesis involving both intraductal papillary mucinous neoplasm progression and concomitant pancreatic ductal adenocarcinoma, which continues beyond the 5 years.
Citation	Lee YC, Chon HK. Letter to the Editor: De-escalating surveillance in branch duct intraductal papillary mucinous neoplasms: Balancing surveillance burden with long-term oncologic risk. World J Gastroenterol 2026; In press DOI: https://doi.org/10.3748/wjg.123800
PDF	123800-in-press.pdf

Received	2026-05-29 08:18
Peer-Review Started	2026-05-29 08:18
First Decision by Editorial Office Director
Return for Revision	2026-06-16 09:55
Revised	2026-06-22 00:38
Publication Fee Transferred
Second Decision by Editor	2026-06-26 02:16
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-26 06:53
Articles in Press	2026-06-26 06:53
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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