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Copyright: ©Author(s) 2026. 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.
World J Gastrointest Endosc. Aug 16, 2026; 18(8): 118395
Published online Aug 16, 2026. doi: 10.4253/wjge.118395
Therapeutic endoscopic retrograde cholangiopancreatography for giant bile duct stones in a child: A case report
Yue-Sheng Wang, Miao Hou, Zi-Ying Li, Zhen-Jia Du, Jing-Yu Liu
Yue-Sheng Wang, Miao Hou, Zi-Ying Li, Zhen-Jia Du, Jing-Yu Liu, Department of Gastroenterology, Children’s Hospital Affiliated to Zhengzhou University, Zhengzhou 450000, Henan Province, China
Co-first authors: Yue-Sheng Wang and Miao Hou.
Author contributions: Wang YS and Hou M contributed equally to this article, they are the co-first authors of this manuscript; Hou M, Li ZY, Du ZJ, and Liu JY contributed to the discussion and design of the manuscript and edited the pictures; and all authors thoroughly reviewed and endorsed the final manuscript.
AI contribution statement: During the early stage of literature editing and translation, I relied on software like ChatGPT, Grammarly, and DeepL for assistance in language polishing and translation. Only the corresponding tools are used to polish the language to make it read more smoothly.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
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: Yue-Sheng Wang, Director, Department of Gastroenterology, Children’s Hospital Affiliated to Zhengzhou University, No. 33 East Longhu Outer Ring Road, Jinshui District, Zhengzhou 450000, Henan Province, China. wangyueshengys@126.com
Received: January 7, 2026
Revised: March 6, 2026
Accepted: July 16, 2026
Published online: August 16, 2026
Processing time: 221 Days and 22.7 Hours
Core Tip

Core Tip: This case describes the successful therapeutic endoscopic retrograde cholangiopancreatography-based extraction of giant common bile duct stones in a child with concomitant pancreaticobiliary maljunction and pancreas divisum. A precisely tailored endoscopic approach can achieve effective biliary decompression and rapid symptom resolution while avoiding urgent surgery. This report supports the feasibility and safety of endoscopic retrograde cholangiopancreatography for themanagement of complex pediatric biliary anomalies.

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