This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Pancreas, Subject name: Surgery
A chronic alcoholic presents with abdominal pain radiating to the back that responds to analgesics. At evaluation, the pancreatic duct was found to be dilated and stones were noted in the tail of pancreas. The initial management is: 
Select and explain. 
A. Pancreatic tail resection, B. Pancreaticojejunostomy, C. Percutaneous removal of stone, D. Medical management
D: Medical management
Answer: D: Medical management 
Explanation: Management Pain : Analgesics NSAIDS - Metamizole Opiate - Buprenorphine If pain not relieved by analgesic - perform ERCP with Stone removal or Stenting; If not relieved - Celiac ganglia block If not relieved - Surgical Intervention.