hi. noted history of elevated liver and pancreatic enzymes. did they found anything significant in your imaging studies? it is best if you consult with a dcotor, preferably gastroenterologist or a general surgeon, for physical examination and clinical evaluation. hepaticopancreaticobiliary tree pathologies must be ruled-out. one of the primary concerns is pancreatitis. other diagnostics (such as blood count, liver function tests, etc.) and management (medical and/or surgical), will be directed depending on the findings. hope this helps. good day!! ~dr.kaye