PATHOGENY AND PATHOGENESIS(1) 1 common channel and reflux of duodenal juice Kinin Sever pain systems gallstones elastase hemorrhage Bile rypsI reflux Trypsin chymotrypsin infection Phospho lipase Free fat erum Steatolvtic acid calcium enzymes5 PATHOGENY AND PATHOGENESIS(1) 1 common channel and reflux of duodenal juice gallstones infection Bile juice reflux trypsin Kinin systems elastase Trypsin chymotrypsino Phospho￾lipaseA2 Steatolytic enzymes Sever pain hemorrhage Free fat acid Serum calcium