©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2026; 32(8): 116856
Published online Feb 28, 2026. doi: 10.3748/wjg.v32.i8.116856
Published online Feb 28, 2026. doi: 10.3748/wjg.v32.i8.116856
Endoscopic ultrasound-guided transhepatic antegrade stone removal for choledocholithiasis after pancreaticoduodenectomy: A case report and review of literature
Yu-Ming Li, Aimaiti Yasen, Si-Fang Chen, Jian Fan, Xiao-Bing Huang, Guo-Hua Zuo, Lu Zheng, Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, China
Co-first authors: Yu-Ming Li and Aimaiti Yasen.
Co-corresponding authors: Guo-Hua Zuo and Lu Zheng.
Author contributions: Li YM, Yasen A, Zuo GH, Chen SF, Fan J, and Huang XB contributed to data collection; Li YM and Yasen A contributed to manuscript writing and editing as co-first authors; Zuo GH, Chen SF, Fan J, and Huang XB contributed to data analysis; Zheng L and Li YM contributed to conceptualization and supervision; Zheng L and Zuo GH contributed equally as co-corresponding authors. All the authors have read and approved the final manuscript.
Supported by Chongqing Science and Health Joint Medical Research Project, No. 2023MSXM140; and Youth Talent Project of the Second Affiliated Hospital of Army Medical University, No. 2022YQB044.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Lu Zheng, MD, PhD, Professor, Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital of Army Medical University, No. 183 Xinqiao High Street, Shapingba District, Chongqing 400037, China. zhenglu@tmmu.edu.cn
Received: November 24, 2025
Revised: December 7, 2025
Accepted: January 7, 2026
Published online: February 28, 2026
Processing time: 81 Days and 16.4 Hours
Revised: December 7, 2025
Accepted: January 7, 2026
Published online: February 28, 2026
Processing time: 81 Days and 16.4 Hours
Core Tip
Core Tip: Endoscopic retrograde cholangiopancreatography is often anatomically impossible for choledocholithiasis after pancreaticoduodenectomy. This case highlights endoscopic ultrasound-guided transhepatic antegrade stone removal as a highly promising minimally invasive solution. By enabling precise puncture and single-session stone removal through a transgastric approach in surgically altered anatomy, endoscopic ultrasound-guided transhepatic antegrade stone removal avoids the need for multiple procedures or complex surgery, positioning it as a potential first-line therapy in such patients. Further studies are warranted to standardize this advanced technique.