A 49-year-old male presents with chronic abdominal pain. The patient has a history of chronic alcoholic pancreatitis with constant abdominal pain. He has abstained from alcohol for the past 2 years, and has made a sincere effort to be free of narcotic analgesics. His BMI is 23 kg/m2, and his fasting blood glucose is normal. CT scan shows an enlarged pancreatic head, and the distal pancreatic duct is small. The patient is requesting an operative procedure because he cannot tolerate the chronic pain any longer. Which of the following procedures is most appropriate for this patient?
A. Celiac block
B. Frey
C. Puestow
D. Beger
E. Total
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A 55-year-old man is undergoing a planned Beger operation for chronic pancreatitis. After the anterior pancreas is exposed, dissection under the pancreatic neck is impossible secondary to dense fibrotic inflammation. What is the operative strategy?
A. Frey
B. Distal Panc
C. Whipple
D. Total Panc
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