A 60-year-old woman with a history of chronic pancreatitis comes with worsening epigastric pain radiating to the back associated with nausea and vomiting. She has lost 10 kg in the past 4 months. She has no evidence of jaundice. LFT and serum amylase/lipase are within normal limits. CT scan of the abdomen shows the following. What would be the most appropriate next step in the management of this patient?
Whipple procedure ERCP with stenting Palliative chemotherapy and best suppoive care Distal pancreatotomy and splenectomy