慢性胰腺炎并发门静脉高压症的诊断与治疗

Chinese Journal of Practical Surgery ›› 2011, Vol. 31 ›› Issue (09) : 803-806.

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Chinese Journal of Practical Surgery ›› 2011, Vol. 31 ›› Issue (09) : 803-806.
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Abstract

Diagnosis and treatment of chronic pancreatitis with portal hypertension        WU Zhi-yong,CHEN Wei.Department of General Surgery,Renji Hospital,Shanghai Jiaotong University School of Medcine,Shanghai 200127,China
Corresponding author: WU Zhi-yong, E-mail: zhiyongwu@gmail.com
Abstract    It is the major pathogenesis of chronic pancreatitis with portal hypertension (PHT)  that the splenic vein compression or thrombosis, resulting in splenic vein occlusion. It usually shows symptoms of both chronic pancreatitis and PHT. The most common symptoms of chronic pancreatitis is that chronic upper abdominal and lumbar back pain. The performance of PHT is the different degrees of splenomegaly and hypersplenism, and isolated gastric varices, but the upper gastrointestinal bleeding is rare. It can be diagnosed by Doppler ultrasound, CT, MRI and angiography. Treatment should be aimed at both the primary disease and PHT. The individual treatment should be emphasized. The chronic pancreatitis with PHT can be cured with good prognosis.

Key words

chronic pancreatitis / hypertension / portal vein

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