Clinical analysis of 37 patients with pancreatic portal hypertension

VernacularTitle:胰源性门静脉高压37例临床分析
Author: Yaoxuan WANG ; Qingfeng JIANG ; Ke LI ; Yuwei TIAN ; Jing ZHANG ; Huanzhou XUE
Keywords: Pancreatic portal hypertension; Splenectomy
From: Chinese Journal of Hepatobiliary Surgery 2017;23(2):114-116
CountryChina
Language:Chinese
Abstract: Objective To study the pathogenesis,diagnosis and treatment of pancreatic portal hypertension (PPH).Methods The clinical data of 37 patients with PPH treated in Henan Province People's Hospital from January 2008 to January 2016 were retrospectively analyzed.Result Nine patients underwent conservative treatment and 28 patients underwent surgical treatment.No deaths were observed in the perioperative and follow-up periods.One patient underwent a second operation becausc of gastrointestinal bleeding.The clinical symptoms of the remaining patients were significantly relieved after surgery.Conclusions Treatment should be individualized and directed at the underlying cause.The anatomy of the coronary vein and the location of obstruction of the splenic vein determined the degree of the variceal veins and the surgical methods.Splenectomy was the basic treatment for PPH.Subcapsular splenectomy was effective in some challenging cases.