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Endoscopic treatment of local complications in patients with chronic pancreatitis has gained ground over the surgical alternative in the last years. The less aggressiveness of endoscopic treatment, as well as the possibility to apply it repeatedly in high-risk patients, has favored this development. In addition, the incorporation of new highly accurate endoscopic therapeutic options such as pancreatoscopy-guided lithotripsy and endoscopic ultrasound-guided treatments, make endoscopic treatment the first choice in many cases, despite dis