[Overview of international recommendations on approaches a view of a physician and surgeon]

In different countries a set of recommendations for the diagnostics and treatment of chronic pancreatitis (CP) have been published, but to date a unified systematic management has not been developed yet. Because CP is within the interests of physicians of various specialties: surgeons, gastroenterologists, endoscopists and others, approaches to the most effective treatment--conservative therapy, endoscopic or surgical treatment--should be determined on an equal footing on the basis of well-known and well-conducted trials at the minimization of possible interpretations of the terms and tactics. In most cases there is a need for a comprehensive approach, which allows to achieve the main tasks: to cut pain short, maintain the function of the gland and/or compensate for pancreatic insufficiency, eliminate or prevent the development of complications, using a combination of the most effective methods of treatment. The opinion of all involved in the fate of particular patient specialists in the absence of common international standards, must be based on the results of the research evidence. The purpose of this review is to analyze the scientific studies in this field with a focus on existing practical guide of pancreatilogical associations of different countries of the world. Formulated during the analysis, the conclusions and provisions on the basis of strict methodological approach can be useful for Russian gastroenterologists, surgeons and general practitioners.