First of all, he needs to stop drinking, completely.

If he continues to have severe pain after eating, despite the pancreatic enzyme medicaiton and abstinence from alcohol, then he should be seen by a GI doctor with expertise in managing chronic pancreatitis. Sometimes, placement of a bypass tube (stent) into the pancreatic duct, or even surgery to remove the most diseased part of the pancreas, may be helpful in patients with severe chronic pancreatitis that is not responsive to more conservative measures.

Sincerely/ Robert A. Wascher, MD, FACS