In May 2020, the International Society of Pancreatic Diseases (IAP), American Pancreatic Society (APA), Japanese Pancreatic Society (JPS) and European Pancreatic Society (EPC) updated the international consensus guidelines on interventional endoscopy in chronic pancreatitis. Evidence-based consensus was obtained for 26 statements relating to nine questions including the indications for therapeutic endoscopy in pancreatitis. This article contains the interpretation of the key clinical questions and statements in this guideline.

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18.    Issa Y, Kempeneers MA, Bruno MJ, et al. Effect of early surgery vs endoscopy-first approach on pain in patients with chronic pancreatitis: the ESCAPE randomized clinical trial[J]. JAMA, 2020, 323(3): 237-247. DOI: 10.1001/jama.2019.20967.

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