АНАЛИЗ РЕЗУЛЬТАТОВ ОПЕРАЦИЙ, ЦЕЛЕСООБРАЗНЫХ ПРИ ХРОНИЧЕСКОМ ПАНКРЕАТИТЕ С ИЗОЛИРОВАННЫМ ПОРАЖЕНИЕМ ГОЛОВКИ ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ

Recently, studies comparing various variants of operations to establish the optimal method of surgical treatment  or chronic pancreatitis with pancreatic head lesions from the point of view of evidence-based medicine have been  carried out in the world. However, these comparative studies do not take into account diff erences in the clinical and morphological forms of the disease, in particular, chronic pancreatitis with a predominant and isolated lesion of the head. Thus, performing a subtotal resection of the pancreatic head with longitudinal pancreatojejunoanastomosis or Frey  surgery, which is advisable for chronic pancreatitis with predominant head lesion, in case of an isolated  lesion of the head will be an excess of the volume of surgical intervention due to the fact that the outfl ow of secretion along the main pancreatic duct of the distal part of the gland does not disturb, the parenchyma of this part of the body practically does not participate in the pathological process and is changed minimally, and can  respond to such an operation with pancreatic necrosis.  Based on the studies performed, it is impossible to say with certainty about the reliable advantages of one type of operations on another. To obtain reliable results, it’s necessary to conduct evidence-based studies comparing subtotal resection of the  pancreatic head with longitudinal pancreatojejunostomy with other types of interventions o nly for chronic  pancreatitis with a isolated head lesion, excluding from the study patients with chronic pancreatitis with predominant head lesion.