SEVERE AND COMPLICATED CHRONIC-PANCREATIT IS TYPES

A total of 437 patients with chronic pancreatitis (CP) were examined. The authors detected interstitial or acute, parenchymal or recurrent, hyperplastic or pseudotumorous, and cystic variants in 91 (20.8 %), 21 8 (49.9 %), 78 (17.8 %), 22 (5,1 %), and 28 (6,4 %) patients, respecti vely, Severe types due to the permanent pain syndrome, substantial wei ght loss and overall intoxication phenomena were seen in 21.5 %. Compl ications of chronic pancreatitis were revealed in 32.3 %. Pyoseptic co mplications (11.2 %), anicteric cholestasis (8.5 %), subhepatic portal hypertension (8.0 %), cholestatic jaundice (7.8 %) were most common. Immunodeficiency states developed with long-term treatment of CP. A sm all portion (0.9 %) of patients with CP developed pancreatic carcinoma . 3 % of patients had deaths directly due to the active course of the disease whose causes were pyoseptic processes, pancreatic carcinoma an d profuse hemorrhages from exulcerations of the duodenal postbulbar pa rt.