PORTAL HYPERTENSION RESULTED FROM CHRONIC PANCREATITIS

Objective:To explore the diagnosis and management of portal hypertension resulted from chronic pancreatitis. Method: The clinical manifestations, diagnostic methods and therapeutic modalities of 21 cases of portal hypertension resulted from chronic pancreatitis ( 16 regional portal hypertension, 5 prehepatic portal hypertension ) in our hospital from Mar. 1990 to Oct. 2005 were analyzed retrospectively. The main diagnostic methods were ultrasonography ( US ), computerized tomography ( CT ) and endoscopy. Magnetic resonance angiography ( MRA ) and superior mesentary angiography were performed selectly in 3 prehepatic portal hypertension. Splenectomy were performed in 16 regional portal hypertension, and superior mesenteric vein - inferior vena cava shunt were the treatment of choice in 5 prehepatic portal hypertension ( plus splenectomy in 2 cases). Results: All the patients were followed up for 1-5 years and recovered nicer after treatment. No cases of rebleeding occurred in the peroid of follow-up. Hypersplenism disappeared, and disappeared or improved obviously esophageal varices had be detected by gastroscope in 15 cases after operation. Results:In the clinical procedure of pancreatic portal hypertension resulted from chronic pancratitis, prehepatic portal hypertension should be considered as well as sinistral portal hypertension.