Gou HX, Deng C, Wen Y, Yin ZL, Yang TY, Wang T, Luo H, Cheng L. Pancreatic head resection alongside side-to-side pancreatic duct-jejunostomy for pancreatic stones: A case report and review of literature. World J Gastrointest Surg 2026; 18(2): 115072 [DOI: 10.4240/wjgs.v18.i2.115072]
Corresponding Author of This Article
Long Cheng, PhD, Chief Physician, Department of General Surgery, The General Hospital of Western Theater Command, No. 270 Tianhuan Road, Rongdu Avenue, Jinniu District, Chengdu 610000, Sichuan Province, China. tmmulong@163.com
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Case Report
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Feb 27, 2026 (publication date) through Feb 26, 2026
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World Journal of Gastrointestinal Surgery
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Gou HX, Deng C, Wen Y, Yin ZL, Yang TY, Wang T, Luo H, Cheng L. Pancreatic head resection alongside side-to-side pancreatic duct-jejunostomy for pancreatic stones: A case report and review of literature. World J Gastrointest Surg 2026; 18(2): 115072 [DOI: 10.4240/wjgs.v18.i2.115072]
World J Gastrointest Surg. Feb 27, 2026; 18(2): 115072 Published online Feb 27, 2026. doi: 10.4240/wjgs.v18.i2.115072
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
Hao-Xian Gou, Chao Deng, Yi Wen, Zhi-Long Yin, Ting-Yu Yang, Tao Wang, Hao Luo, Long Cheng, Department of General Surgery, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China
Hao-Xian Gou, Yi Wen, Tao Wang, Hao Luo, Long Cheng, Tissue Stress Injury and Functional Repair Key Laboratory of Sichuan Province, The General Hospital of Western Theater Command, Chengdu 610000, Sichuan Province, China
Co-first authors: Hao-Xian Gou and Chao Deng.
Co-corresponding authors: Hao Luo and Long Cheng.
Author contributions: Gou HX, Deng C, Yang TY, Wen Y, and Yin ZL contributed to data collection; Luo H, Wang T, and Cheng L contributed to conceptualization and supervision; Gou HX and Deng C contributed to manuscript writing and editing, and they contributed equally to this manuscript and are co-first authors; Luo H and Cheng L contributed equally to this manuscript and are co-corresponding authors; all authors have read and approved the final manuscript.
Supported by the General Project of The General Hospital of Western Theater Command, No. 2024-YGJC-B09 and No. 2024-YGLC-B03.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
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: Long Cheng, PhD, Chief Physician, Department of General Surgery, The General Hospital of Western Theater Command, No. 270 Tianhuan Road, Rongdu Avenue, Jinniu District, Chengdu 610000, Sichuan Province, China. tmmulong@163.com
Received: October 13, 2025 Revised: December 7, 2025 Accepted: January 12, 2026 Published online: February 27, 2026 Processing time: 142 Days and 2.8 Hours
Abstract
BACKGROUND
Pancreatic 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.
CONCLUSION
The 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.
Core Tip: This case report detailed the development of a novel surgical approach by our team for the treatment of pancreatic duct stones, drawing on the contributions of previous researchers. For patients with multiple pancreatic duct stones complicated by pancreatic duct dilatation, this surgical approach can maximize the removal of pancreatic duct stones, reduce the risk of stone recurrence, and alleviate postoperative pain.
