A great deal remains to be learned about the pathophysiology, natural history, and treatment of acute and chronic pancreatitis. As we consider problems in treatment, we would be well advised to consider these words of Dr. Henry Janowitz: "Gastroenterologists are physicians who know how to think about and manage patients who have gastrointestinal problems." (44). To the extent that we heed these words and always give serious thought to what we are trying to achieve, we will provide greater help for our patients.