**Abstract**

Elastography opened up new frontiers for pancreatic disease, as it may aid in tumor mass differentiation. Ultrasound strain elastography and ultrasound shearwave elastography have been used so far by transabdominal transducers. New technological advancements have embedded elastography techniques in endoscopic ultrasound (EUS), thus enabling a better evaluation of patients with pancreatic tumors, chronic pancreatitis, autoimmune pancreatitis, gastrointestinal subepithelial lesions, and lymph node involvement. Moreover, EUS-E might help in guiding EUS-Fine Needle Aspiration or EUS-Fine Needle Biopsy when addressing solid pancreatic tumors, for proper tissue harvesting. Furthermore, artificial intelligence methods may bypass the human factor and lead to better diagnostic results.

**Keywords:** endoscopic ultrasound, elastography, pancreatic disease
