title: Surgical treatment of pain in patients with chronic pancreatitis.
abstract: OBJECTIVE
  The objectives of the research were to compare the outcomes of pancreatoduodenectomy (PD) (Kausch-Whipple or Traverso-Longmire) and resection with drainage operations (RDO) (Frey or Partingtone-Rochelle) in patients suffering from chronic pancreatitis (CP), in management of pain syndrome and quality of life provided by these kinds of surgical procedures.
  
  
  METHODS
  From 2002 to 2008 sixteen patients suffering from CP underwent PD and 16 underwent RDO. Treatment results for the two groups were analyzed with respect to postoperative complications and results of the questionnaire MOS SF-36 v.2(TM).
  
  
  RESULTS
  In the immediate postoperative period more complications were observed in the PD group (a<0.05). In both groups a positive effect on removing the painful syndrome and improvement of the quality of life (p<0.01) were observed. In the PD group there were the best results of management by General Health difference criterion (a<0.01). A greater improvement of Physical Functiong value (a<0.01) was noticed in patients who underwent RDO.
  
  
  CONCLUSIONS
  Both PD and RDO adequately remove pain syndrome and improve the quality of life in patients suffering from CP. Under equal conditions the preference should be given to RDO, as improvement in life quality of operated patients is greater.
authors.affiliation: Department of Oncology, Belarusian State Medical University, Belarus. prochorov@tut.by
authors.forename: Alexandermiddle Victorovich
authors.initials: AV
authors.lastname: Prochorov
authors.forename: Karl-Jurgen
authors.initials: KJ
authors.lastname: Oldhafer
authors.forename: Stanislaw Ivanovich
authors.initials: SI
authors.lastname: Tretyak
authors.forename: Siarhei Markovich
authors.initials: SM
authors.lastname: Rashchynski
authors.forename: Marcello
authors.initials: M
authors.lastname: Donati
authors.forename: Nina Timofeevna
authors.initials: NT
authors.lastname: Rashchynskaya
authors.forename: Dzmitry Anatolyevich
authors.initials: DA
authors.lastname: Audzevich
mesh_terms: D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology / Q000601:surgery*; D010180:Pancreatectomy; D016577:Pancreaticoduodenectomy; D050500:Pancreatitis, Chronic / Q000150:complications / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life