Pediatric chronic pancreatitis is becoming more common. Endoscopic techniques are effective tools for diagnosing and treating chronic pancreatitis. Pediatric understanding and usage of these modalities are restricted, and they should be widely disseminated. A review of the literature on the use of ERCP and EUS for the diagnosis and/or management of chronic pancreatitis was done, with specific focus paid to studies including children aged 0 to 18 years old, and summaries were prepared. Authors created and voted on recommendations. In instances when cross-sectional imaging is insufficient to identify or describe the illness, both EUS and ERCP can be utilized to aid in the diagnosis of chronic pancreatitis in small children. Children weighing less than 15 kg for EUS and less than 10 kg for ERCP might be technically problematic. These operations should be performed as efficiently as possible by adequately trained endoscopists and adult gastrointestinal specialists with expertise in treating children. Perforation, hemorrhage, and pancreatitis are among concerns associated with EUS and ERCP. Because of the reduced overall complication rate, EUS is the preferred diagnostic method over ERCP. Both methods can be utilized to treat fluid accumulation caused by chronic pancreatitis. ERCP has been used successfully to treat pancreatic duct stones. 

EUS and ERCP can be used safely in young patients to identify chronic pancreatitis and aid in the treatment of chronic pancreatitis-related problems. Procedure-related hazards are comparable to those reported in adults, with EUS having a lower overall risk profile. The current rise of pediatric-trained experts will improve children’s access to these techniques.