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Staging Laparoscopy with Laparoscopic Ultrasonography ...

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The “Pacemaker” of Chronic Pancreatitis• Enlarged, Fibrotic and Inflammed Pancreatic Head• PMN’s infiltrate perineural sheaths• Local overexpression of pain transmitters• Increased tissue and duct pressures• 95% develop intractable pain• Local Anatomic Complications‣Common Bile Duct Stenosis – 60%‣Duodenal Stenosis – 36%‣Portal Vein Stenosis/Thrombosis – 17%

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