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8/10/2026 7:08:33 AM | Browse: 2 | Download: 0
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2026-04-20 08:24 |
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2026-08-07 01:01 |
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2026-08-10 04:02 |
| ISSN |
1948-5190 (online) |
| Open Access |
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. |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Minireviews |
| Article Title |
Pancreatoscopy guided lithotripsy for difficult pancreatic duct stones: Evidence and treatment selection in chronic pancreatitis
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Rintaro Hashimoto |
| Funding Agency and Grant Number |
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| Corresponding Author |
Rintaro Hashimoto, Assistant Professor, MD, PhD, Department of Internal Medicine, University of Iowa Health Care, 200 Hawkins Dr, Iowa City, IA 52242, United States. rintaro-hashimoto@uiowa.edu |
| Key Words |
Chronic pancreatitis; Pancreatic duct stones; Pancreatoscopy guided lithotripsy; Extracorporeal shock wave lithotripsy; Patient selection |
| Core Tip |
Pancreatoscopy-guided lithotripsy has become a useful option for difficult pancreatic duct stones, but the available evidence does not justify replacing extracorporeal shock wave lithotripsy as the default strategy. Its role should be decided case by case. Stone size, computed tomography attenuation, radiopacity, overall stone burden, duct anatomy, downstream strictures, access route, local expertise, and the expected number of procedures all matter. Success should also be measured beyond duct clearance. Pain relief, quality of life, opioid use, hospitalizations, need for repeat intervention, nutritional status, pancreatic function, and timely referral for surgery should all be part of treatment selection. In this setting, duct clearance is only one outcome; the more important question is whether treatment changes the patient’s clinical course. |
| Publish Date |
2026-08-10 04:02 |
| 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
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| URL |
https://www.wjgnet.com/1948-5190/full/v18/i8/122451.htm |
| DOI |
https://doi.org/10.4253/wjge.122451 |
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