Evidence map›Paper›PMID 41809362›Full record

ArticleWorld journal of gastrointestinal surgery2026

Pancreatic head resection alongside side-to-side pancreatic duct-jejunostomy for pancreatic stones: A case report and review of literature.

Hao-Xian Gou, Chao Deng, Yi Wen, Zhi-Long Yin, Ting-Yu Yang, Tao Wang, Hao Luo, Long Cheng

Abstract readCase Reports
In one paragraph

Article in World journal of gastrointestinal surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hao-Xian GouDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.
Chao DengDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.
Yi WenDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.
Zhi-Long YinDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.
Ting-Yu YangDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.
Tao WangDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.
Hao LuoDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.
Long ChengDepartment of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic duct stones often develop in the late stage of chronic pancreatitis. However, for complex pancreatic duct stones or stones in the pancreatic body and tail, endoscopic treatment is often ineffective and ultimately requires surgical intervention. CASE SUMMARY: A young man who had been smoking for 10 years and drinking alcohol for 5 years had a history of abdominal pain for 8 years and diarrhea for 2 years. The patient was diagnosed with "chronic pancreatitis combined with pancreatic duct stones" in other hospitals and underwent several endoscopic treatments, but the abdominal pain still recurred. The patient presented to our hospital one week after another episode of abdominal pain. Our team arranged for computed tomography and magnetic resonance imaging examinations, which revealed a markedly atrophic pancreas and a dilated pancreatic duct, and a large number of stones. Our team convened a multidisciplinary consultation to discuss treatment options and reviewed extensive literature. Ultimately, based on the literature and consultation advice, we implemented a novel, previously unreported surgical procedure. The surgical approach we proposed combines the Beger procedure and the Frey procedure, involving complete pancreatic head resection with duodenal preservation, full-length longitudinal incision of the pancreatic duct in the body and tail, and side-to-side pancreaticojejunostomy. Postoperative follow-up revealed a favorable prognosis.

conclusionThe main contribution of this case is the development of a modified surgical procedure for chronic pancreatitis complicated by complex pancreatic duct stones. For chronic pancreatitis complicated by stones that respond poorly to pharmacotherapy or endoscopic treatment, surgery is a worthy early treatment option. Early surgical intervention can effectively drain pancreatic juice, delay pancreatic atrophy, and protect pancreatic function. Our proposed modified procedure can more thoroughly remove stones and reduce the recurrence rate of stones and pain. Although we successfully treated a patient with this procedure for the first time, its efficacy and safety in a human population are currently lacking validation.

Indexed as

Case reportIntraoperative endoscopic lithotomyPancreatic duct stoneSide-to-side pancreaticojejunostomySurgical treatment

Identifiers

PMID41809362
PMCPMC12968710

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.