Pancreatic portal hypertension: progress in diagnosis and treatment
10.3760/cma.j.issn.1007-8118.2017.01.001
- VernacularTitle:胰源性门静脉高压症的诊治进展
- Author:
Guangwen ZHOU
;
Jiao GUAN
;
Yong JIN
- Keywords:
Portal hypertension;
Pancreatic disease;
Diagnosis;
Treatment
- From:
Chinese Journal of Hepatobiliary Surgery
2017;23(1):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Pancreatic portal hypertension (PPH),which accounts for about 5％ of extrahepatic portal hypertension cases,is mainly caused by pancreatic tumor,chronic pancreatitis and pancreatic ductal lithiasis.The pathogenesis and pathological characteristics of PPH are attributed to anatomical structure between splenic vein and pancreas.It is different from cirrhotic portal hypertension,PPH patients may present with less esophageal and gastric fundus varices,but more significant gastric body varices.The portal vein radiography is recognized as the golden standard for PPH diagnosis.There are two types of treatment modalities for PPH,symptomatic treatment and pathogenesis-based treatment.In clinically,we should take careful consideration into portal hypertension and primary disease,aim to resolve causes and manage complication concurrently.
