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00, pancreatic duct opacification (86% vs 25%, p less then 0.00 and stent placement (73% vs 20%, p less then 0.00. An EUS-guided approach also appeared superior with regard to clinical outcomes such a pain resolution. The adverse event rate between the two treatment modalities could not be compared due to insufficient data. All included studies were found to be of low quality. Conclusion Based on limited available data, EUS-guided PD intervention appears superior to ERP-guided PD intervention.Background The adenoma detection rate