Diagnosis and treatment of pancreatic sinistral portal hypertension / 中华普通外科杂志

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.