Endoscopic treatment of chronic pancreatitis

Endoscopic therapies, originally utilized for problems in the biliary tree, have been adapted for use in the pancreas. Despite widespread adoption and implementation of these techniques, there are few controlled studies comparing pancreatic endotherapy with either surgery or traditional medical treatment. This review attempts to summarize current endoscopic practice in treating the ductal obstructions and leaks associated with chronic pancreatitis and place these techniques into perspective with respect to alternative management strategies.