EBGI summary reviews the 2025 SPHINX study published in Gut on endoscopic sphincterotomy to prevent post-ERCP pancreatitis after self-expandable metal stent placement for distal malignant biliary obstruction.

ERCP with Extracorporeal Shock-Wave Lithotripsy For Chronic Pancreatitis: Is It A “Sham” for Improving Pain?  Margaret J Zhou, MD, MS1…

Add Pancreatic Duct Stent to Indomethacin to Minimize Post-ERCP Pancreatitis in High-Risk Patients   Philip Schoenfeld, MD, MSEd, MSc (Epi)…

BD-IPMNs represent one of the more common types of pancreatic cystic lesions, and their surveillance entails cross-sectional imaging and/or endoscopic ultrasound. Surveillance can be offered until a patient is no longer a surgical candidate, though apart from suggestions of considering lengthening intervals if lesions are stable, there is little guidance regarding when to stop surveillance. Given the healthcare burden and cost associated with surveillance, as well as the impact on patients, studies evaluating whether and in whom surveillance can be stopped are critical.

Acute Pancreatitis: Need IV Fluid Resuscitation But Avoid a WATERFALL! Shria Kumar, MD, MSCE1 and Timothy B. Gardner, MD MS2…