Treatment of pancreatic fistulas (PF) is one of the most difficult and urgent problems of modern abdominal surgery. Retrograde endoscopic procedures on the main pancreatic duct (MPD) has become an alternative for surgical treatment of PF. From January 1998 to November 2010, 6364 endoscopic retrograde interventions have been performed in our clinic. Stenting of MPD has been performed in 182 cases as a method of treatment for various pathologies. In 33 cases out of 182 PF were the reason for the pancreatic stenting. This group consisted of 28 men and 5 women, whose average age was 40,1+11,9 yrs. We observed external PF in 21 cases (63.6%), internal PF in 10 cases (30.3%) - which included 3 cases of pancreatopleural fistulas, and 7 cases of pancreatoabdominal fistulas - and mixed PF in 2 (6%) cases. Complex diagnostic program revealed that the defect of the wall of the pancreatic duct system was localized in the projection of the pancreas' body in 10 cases, in the neck in 10, in the head in 8 cases and in the tail in 5 cases. In all 33 cases, upon the completion of ERCP, we attempted to perform pancreatic stenting, and succeeded in 21 cases (63.6%). In 12 cases (36.4%), stenting was not possible. Occlusions and deformations of MPD as well as the full rupture of the Wirsung's or Santoriniev's ducts were the causes of failure. In 2 (6%) cases there were complications in endoscopic interventions: acute pancreatitis (1) and empyema of pansreatic tail pseudocyst (1). There were no lethal outcomes. In all the cases, in the period of 2 to 30 days after successful pancreatic stenting, complete closing of both external and internal PF was ascertained. It was confirmed clinically and by performing control ERCP after removal of stents in the period of 1 to 7 months after the initial intervention. Thus, after successful pancreatic stenting the closing of pancreatic fistulas was observed in all cases (100%). In 11 patients, the surgical interventions were utilized to treat PF. There were complications in 2 (18.2%) of them, and the lethality constituted 1 (9.1 %) due to anastomotic leak. Successful endoscopic pancreatic stenting as a means of PF treatment was possible in 64.3% of the cases. After the stenting of MPD, the closing of PF was observed in 100 % of both external and internal PF. Endoscopic retrograde correction has low level of complications (6%).