AIM:Endoscopic metal stenting(EMS)offers goodresults in short to medium term follow-up for bile ductstenosis associated with chronic pancreatitis(CP);however,longer follow-up is needed to determine if EMShas the potential to become the treatment of first choice.METHODS:EMS was performed in eight patients withsevere common bile duct stenosis due to CP.After theresolution of cholestasis by endoscopic naso-biliarydrainage three patients were subjected to EMS while,the other five underwent EMS following plastic tubestenting.The patients were followed up for more than5 years through periodical laboratory tests and imagingtechniques.RESULTS:EMS was successfully performed in all thepatients.Two patients died due to causes unrelated tothe procedure:one with an acute myocardial infarctionand the other with maxillary carcinoma at 2.8 and 5.5years after EMS,respectively.One patient died withcholangitis because of EMS clogging 3.6 years after EMS.None of these three patients had showed symptoms ofcholestasis during the follow-up period.Two patientsdeveloped choledocholithiasis and two suffered fromduodenal ulcers due to dislodgement of the stentbetween 4.8 and 7.3 years after stenting;however,theywere successfully treated endoscopically.Thus,five ofeight patients are alive at present after a mean follow-upperiod of 7.4 years.CONCLUSION:EMS is evidently one of the very promising treatment options for bile duct stenosisassociated with CP,provided the patients are closelyfollowed up;thus setting a system for their promptmanagement on emergency is desirable. AIM: Endoscopic metal stenting (EMS) offers good results in short to medium term follow-up for bile ductstenosis associated with chronic pancreatitis (CP); however, longer follow-up is needed to determine if EMShas the potential to become the treatment of first choice .METHODS: EMS was performed in eight patients with prevere common bile duct stenosis due to CP. After the solution of cholestasis by endoscopic naso-biliary drainage of three patients were subjected to EMS while, the other five underwent EMS following plastic tubestenting. The patients were followed up for for RESULTS: EMS was successfully performed in all the patients. Two patients died due to cause unrelated tothe procedure: one with an acute myocardial infarction and the other with maxillary carcinoma at 2.8 and 5.5 years after EMS .One patient died withcholangitis because of EMS clogging 3.6 years after EMS. Neither of these three patients had showed symptoms of cholestasis during the follow-up period. Two patients developed choledocholithiasis and two suffered from ductal ulcers due to dislodgement of the stent between 4.8 and 7.3 years after stenting; however, theywere successfully treated endoscopically.Thus, five ofeight patients are alive at present after a mean follow- upperiod of 7.4 years.CONCLUSION: EMS is evidently one of the very promising treatment options for bile duct stenosisassociated with CP, provided the patients are closelyfollowed up; thus setting a system for their promptmanagement on emergency is desirable.