Question 52 What is the association between chronic pancreatitis and peripheral vascular disease (PVD)? Question 53 Please, can you explain to us the mechanism of pancreatitis in hypertriglyceridemias? Question 54 Is there any role for chemotherapy in carcinoma of the pancreas? Question 55 How should portal hypertension be managed in patients with bronchial asthma, where beta-blockers are contraindicated? 2. How should diuretics for these patients with hypertension be added? Question 56 Is cirrhosis a prerequisite for the development of hepatocellular carcinoma (HCC) in hepatitis B (HBV)? Question 57 Should therapy with interferons in the treatment of hepatitis C (HCV) and hepatitis B (HBV) commence when the polymerase chain reaction (PCR) is positive, irrespective of serum glutamyl pyruvate transaminase (SGPT) levels?7 Liver, biliary tract and pancreatic disease 54 Question 58 What is the degree of sensitivity of the CA19-9 as a marker of cancer in the head of the pancreas? Question 59 What are the benefits and drawbacks of silymarin in the treatment of liver cell failure? (This treatment is widely used in my country. )