Abstract:Pancreatic extracorporeal shock wave lithotripsy (P‑ESWL) plays a significant role in the treatment of pancreatic duct stones. Its safety and efficacy have been fully acknowledged in clinical practice. However, there was no international and domestic expert consensus on the indications, contraindications, operational norms, complications prophylaxis and treatment of P-ESWL. In order to further standardize the clinical application of P-ESWL in China, Professional Committee of Pancreatic Diseases, Chinese Medical Doctor Association and National Clinical Research Center for Digestive Diseases (Shanghai) organized domestic experts to compile this expert consensus, based on domestic and international P-ESWL related studies and domestic experience of clinical application. This consensus focuses on the equipment, indications, contraindications, operation specifications and complication prophylaxis and treatment of P-ESWL, aiming to improve the understanding of specialists and standardize the process of P-ESWL.