[Diagnosis and treatment of pancreatogenic portal hypertension: analysis of 26 cases].
OBJECTIVE
To investigate the diagnostic and treatment methods of pancreatogenic portal hypertension and to summarize the experience in surgical treatment of these patients, especially in dealing with the complications and sophisticated cases.


METHODS
Twenty-six patients with pancreatogenic portal hypertension, 19 males and 7 females, aged 37 (29 - 57), underwent pericardial vessel ligation and splenectomy during the period from January 1990 to November 2006 and were followed up for 8 years (2 - 15 years). The clinical data were analyzed.


RESULTS
Seven patients received Roux-en-Y operation for huge pancreatogenic cysts and 3 patients received regional dissection operation of diaphragmatic muscle for severe adhesion. One died of acute myocardial infarction 5 days after the operation, and 25 patients were cured without recurrence during the follow-up.


CONCLUSIONS
Pericardial vessel ligation and splenectomy are rational and reliable methods to treat pancreatogenic portal hypertension. The key issue is how to diagnose pancreatogenic portal hypertension correctly and deal with its complications reasonably.
Wang
Chun-Xi
CX
Department of General Surgery, General Hospital of Chinese People's Liberation Army, Beijing 100853, China.
Li
Rong
R
Cai
Xiang-Jun
XJ
Peng
Zheng
Z
Liang
Fa-Qi
FQ
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000150:complications; D016896:Treatment Outcome