The choice of surgical treatment method of chronic pancreatitis

Abstract

Objective. Treatment of chronic pancreatitis is still a matter of debate and a different approach to tactics and the choice of surgical technique. Methods. We studied the immediate and long-term results of surgical treatment of 76 patients 26-64 years with chronic pancreatitis. It was performed such pancreas surgery as draining, resection, and mixed operations. Results. Postoperative mortality was not registered, early complications reported in 29.4 % of cases. In 86.4 % of patients after surgery for Puestow registered positive analgesic effect. The weight of operated patients, body mass index increased on average from 19.2 to 22.9 kg/m². Diabetes developed after surgery in 16.4 % of cases. Three people who had undergone resection of the pancreatic tail, came to the clinic after 3-6 months after the intervention with ketoacidosis. 18 % of operated patients needed substitution therapy of pancreatic enzymes due to steatorrhea. Conclusions. In chronic pancreatitis with ductal dilatation longitudinal pancreatostomy is a safe and reliable means of pain relief with minimal loss of exocrine and endocrine organ functions. In the calcinosis of a gland and the absence of diabetes resected surgery is indicated. In the decompensated stage of chronic pancreatitis with moderate pain syndrome surgery is inappropriate.