Clinical value of interventional treatment in pancreatogenic portal hypertension complicated by gastrointestinal bleeding in elderly patients

AIM

To investigate the value of interventional techniques in the treatment of gastrointestinal hemorrhage in elderly patients with pancreatogenic portal hypertension.

METHODS

Sixty-five patients with pancreatogenic portal hypertension complicated by gastrointestinal bleeding treated at the People's Hospital of Xinchang County from May 2002 to May 2016 were included and divided into a control group to receive endoscopic treatment or an observation group to receive interventional treatment. Time to hemostasis, blood transfusion, re-bleeding within 1 wk and other indicators were compared between the two groups.

RESULTS

The average time to hemostasis was significantly shorter in the observation group than in the control group (8.1 h ± 1.5 h vs 12.9 h ± 1.3 h, P < 0.05). The mean volume of blood transfusion was significantly lower in the observation group than in the control group (620 mL ± 100 mL vs 750 mL ± 110 mL, P < 0.05). The incidence of rebleeding within 1 wk was significantly lower in the observation group than in the control group (6.67% vs 14.29%, P < 0.05). The total effective rate was significantly lower in the observation group than in the control group (90% vs 68.57%, P < 0.05). There was no significant difference in the incidence of upper abdominal pain, spleen abscess, or death between the two groups (P > 0.05).

CONCLUSION

In elderly patients with pancreatic portal hypertension complicated by gastrointestinal bleeding, interventional treatment can effectively achieve hemostasis and improve the efficiency of treatment.