Diagnosis and treatment of pancreatic sinistral portal hypertension
10.3760/cma.j.issn.1007-631X.2019.06.015
- VernacularTitle:胰源性区域性门静脉高压症的诊治体会
- Author:
Bing ZHOU
1
;
Qiang LI
;
Jiali ZHOU
;
Pengxun LAN
;
Mingming YU
;
Yanqiao SHI
Author Information
1. 浙江省嘉兴市中医医院放射科 314001
- Keywords:
Hypertension,portal;
Pancreas disease;
Surgical procedures,operative
- From:
Chinese Journal of General Surgery
2019;34(6):527-529
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the diagnosis and treatment of pancreatic sinistral portal hypertension (PSPH).Methods A total of 28 patients with PSPH were retrospectively analyzed,and the clinical characteristics,diagnosis and treatment experience of the disease were summarized.Results There were primary pancreatic diseases in all the cases,including 16 cases of pancreatitis and 12 cases of pancreatic tumor in the tail.12 cases underwent distal pancreatectomy plus spleenectomy,2 cases did spleenectomy and pericardial devascularization,9 cases received miscellaneous surgical procedures,and 5 case were managed by non-surgical medical treatments.After 1 year of follow-up,20 of 23 postoperative patients were alive and well.Among the 5 conservatively treated patients,2 had repeated upper gastrointestinal bleeding.Conclusion PSPH,especially caused by chronic pancreatitis yields to personalized surgical procedures based on pancreatectomy.