title: [Morphofunctional aspects in surgery of chronic pancreatitis].
abstract: On the basis of 15-year experience in the treatment of patients with chronic pancreatitis, among which 236 patients underwent operation, the authors describe the examination scheme and discuss the indications and various methods for treatment of the disease. Particular attention is bestowed upon morphological changes of the pancreas, including ultrastructural analysis, as well as on the study of the functional condition 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 nonoperative, endoscopic, and surgical treatment of chronic pancreatitis are determined according to the morphofunctional changes.
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Nesterenko
authors.forename: S G
authors.initials: SG
authors.lastname: Shapoval'iants
authors.forename: O B
authors.initials: OB
authors.lastname: Zubkov
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000473:pathology* / Q000503:physiopathology* / Q000601:surgery; D012720:Severity of Illness Index
vernacular_title: Morfofunktsional'nye aspekty v khirurgii khronicheskogo pankreatita.