58 yr female wha had Lateral pancreatico jejunostomyover 10 years ago presented with dyspepsia and on and off abd pain for an year.She is a diabetic and hypertensive.clinical exam is not specific,General health checkup-moderate increase in Bl sugar,HbA1c is 7,lipid profile LDL is elevated,Calcium ,PTH ,CA19-9are normal.U/S showed non dilated PD,MRCP-multiple PD stones with mild PD dilatation,atrophic pancreas.Shas been on PPIs ,pancreatic supplementation and anti oxidants.