MORPHOFUNCTIONAL ASPECTS IN SURGERY OF CH RONIC-PANCREATITIS

On the basis of 15-year experience in the treatment of patients with c hronic pancreatitis, among which 236 patients underwent operation, the authors describe the examination scheme and duscuss the indications a nd various methods for treatment of the disease. Particular attention is bestowed upon morphological changes of the pancreas, including ultr astructural analysis, as well as on the study of the functional condit ion by evaluation of the pure pancreatic secretions. The importance of the extrasecretory function of the pancreas in choosing the method of direct intervention on the organ is shown. The indications for nonope rative, endoscopic, and surgical treatment of chronic pancreatitis are determined according to the morphofunctional changes.