Results of endoscopic treatment of patients with biliary acute pancreatitis are presented. Initially this form of treatment was rather performed in the late period of the disease. After publication of the controlled randomized study by Neoptolemos and Carr-Locke'a, this method of the treatment was recommended in the early phase of the disease within the first 72 hours after hospital admission and only in patients with severe acute biliary pancreatitis. Recently, meta-analysis of controlled randomized studies restricted indications of this procedure only in patients with associated with acute cholangitis.