PATHOGENY AND PATHOGENESIS(1) 1 common channel and reflux of duodenal juice Ki nIn stems Sever pain gallstones elastase hemorrhage Bile →( trypsin reflux Trypsin chymotrypsin infection Phospho NipaseA2 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