Risk factors for sinistral portal hypertension and related variceal bleeding in patients with chronic pancreatitis. Issue 8 (4th August 2020)

• Record Type: Journal Article
• Authors: Ru, Nan; He, Chao Hui; Ren, Xin Lu; Chen, Jia Yun; Yu, Fei Fei; Yan, Zi Jun; Guo, Ji Yao; Zhu, Jia Hui; Wang, Yuan Chen; Qian, Yang Yang; Pan, Jun; Hu, Liang Hao; Li, Zhao Shen; Zou, Wen Bin; Liao, Zhuan
• Is Part Of: Journal of digestive diseases. Volume 21:Issue 8(2020:Aug.)
• Page Start: 468
• Page End: 474
• Publication Date: 2020-08-04
• Subjects: chronic pancreatitis -- complication -- gastrointestinal variceal bleeding -- risk factors -- sinistral portal hypertension; Digestive organs -- Diseases -- Periodicals; Gastroenterology -- Periodicals; 616.3
• DOI: 10.1111/1751-2980.12916
• Languages: English
• ISSNs: 1751-2972

Abstract

Abstract : Objectives: Sinistral portal hypertension (SPH) is an uncommon complication of chronic pancreatitis (CP) and can result in severe gastrointestinal bleeding. The aim of this study was to determine the prevalence and the potential risk factors for SPH and related gastrointestinal variceal bleeding in patients with CP. Methods: We retrospectively reviewed all patients with SPH due to CP admitted to our hospital from July 2014 to June 2019 in this case‐control study. Patients with CP without SPH were randomly selected as controls during the study period (case: control = 1:2). The characteristics, medical history, course of CP, characteristics associated with SPH, and follow‐up evaluations of the patients were documented in detail. The prevalence rate of SPH in patients with CP and related gastrointestinal bleeding was calculated. Risk factors for SPH and related variceal bleeding were analyzed using univariate or multivariate logistic regression analysis. Results: The prevalence of SPH was 2.7% (89/3358) in patients with CP. Independent risk factors for SPH included alcohol consumption ( P = 0.030), history of acute pancreatitis ( P = 0.010), diabetes mellitus ( P < 0.001), and pseudocysts ( P < 0.001). Overall 17 (19.1%) patients suffered from related gastrointestinal bleeding. Between the bleeding and non‐bleeding groups, there were significant differences in the types of CP, existence of stones, gastric varices diagnosed before bleeding, splenomegaly and hypersplenism by univariate analysis. Conclusion: SPH is a rare complication of CP that is associated with a relatively low risk of variceal bleeding.