Richard Kozarek 2024: Editorial: Does ESWL-ERCP for pancreatic duct stone removal change the natural course of symptomatic chronic calcific pancreatitis?

The author of this Editorial comment emphasizes the discrepancy between his own experience and the Chinese study by Liu. The question is whether chronic pancreatitis is a different disease in Asia than in Western countries. It is obvious that this question needs to be further analyzed in detail. Reviewer comment: One factor that can give rise to different interpretations might be related to the difficulty to determine whether 90% of the original stone volume resides in the main pancreatic duct. That problem influences the result report. Hans-Göran Tiselius