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Chronic pancreatitis is characterized by pancreatic inflammation and fibrosis, which eventually leads to the destruction of the pancreatic parenchyma and loss of both exocrine and endocrine function. Recent studies have estimated that the incidence of chronic pancreatitis in children is approximately 0.5 per 100 000 per year [1-3]. Despite this modest incidence rate, the disease burden of chronic pancreatitis in pediatric patients is substantial owing to the extreme disruption caused to the patients' childhood and education. Children with chronic pancreatitis typically suffer from chronic or severe relapsing abdominal pain, with frequent emergency department visits, hospitalizations, and Extracorporeal shock wave lithotripsy is safe and effective for pediatric patients with chronic pancreatitis