Chinese consensus on the management of pancreatic portal hypertension
Pancreatic portal hypertension (PPH) is a distinct type of portal hypertension caused by various pancreatic diseases or surgery. In recent years, the detection rate of PPH has steadily increased with the widespread application of advanced imaging techniques and endoscopy. Its clinical manifestations are often insidious, compromising early identification. Notably, some complications, such as splenomegaly and upper gastrointestinal bleeding, frequently occur at advanced stage of PPH. Although the concept of PPH has been recognized in existing guidelines and/or consensus on the management of pancreatic diseases or portal hypertension, its management strategy has not been comprehensively summarized. Accordingly, the Chinese Society of Gastroenterology of the Chinese Medical Association invited a panel of skilled experts to participate in the Delphi consensus by systematically reviewing and discussing the available evidence on the causes, risk factors, clinical manifestations, diagnosis, therapy, and prognostic assessment of PPH. After three rounds of questionnaire surveys and votes, 19 consensus statements were formulated to provide the clinical guidance on the diagnosis and management of PPH.
Authors
- Shouwang Cai
- 何福亮
- Zhuan Liao (ORCID: https://orcid.org/0000-0001-8506-8159)
- Wenbin Zou (ORCID: https://orcid.org/0009-0005-8995-0030)
- 杜奕奇
- Kong Derun
- 唐承薇
- Yuzheng Zhuge (ORCID: https://orcid.org/0000-0002-0649-4457)
- Guo Wuhua
- Yuhang Yin (ORCID: https://orcid.org/0000-0002-3812-0134)
- Ping Chen (ORCID: https://orcid.org/0000-0003-3535-555X)
- Guihai Guo
- Shengjuan Hu (ORCID: https://orcid.org/0000-0002-1007-5562)
- Mingkai Chen
- Jiawei Zhong
- Bimin Li
- Shiyao Chen
- Guotao Lu
- Bo Wei
- Jun Tie
- Ming Zhang
- Jingnan Li
- Jing Li
- Hui Xue
- Bole Tian
- Wenhua He
- Libin Huang
- Chunqing Zhang
- Xiaofeng Liu
- Duowu Zou
- Gui Ren
- Xingshun Qi
- Shanyu Qin
- Changqing Yang
- Lu Ke
- Xiaozhong Guo
- Weigang Chen
- Zhiyin Huang
- Ran Wang
- Li Wen
- Hao Wu
- Wei Zhang
- Zhen Ding
- Yin Zhu
- Hui Luo
- Feng Zhang
- Guangchuan Wang
- Yiling Li
Institutions
- Shihezi University (CN)
- Tongji University (CN)
- Fujian Medical University (CN)
- Sun Yat-sen University (CN)
- Second Military Medical University (CN)
- Shanghai Jiao Tong University (CN)
- Capital Medical University (CN)
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Sichuan University (CN)
- Fudan University (CN)
- Peking Union Medical College Hospital (CN)
- Ruijin Hospital (CN)
- Chinese PLA General Hospital (CN)
- National Clinical Research Center for Digestive Diseases (CN)
- West China Hospital of Sichuan University (CN)
- Ningxia Hui Autonomous Region Peoples Hospital (CN)
- Nanjing Drum Tower Hospital (CN)
- Mengchao Hepatobiliary Hospital (CN)
- Changhai Hospital (CN)
- Shandong Provincial Hospital (CN)
- First Affiliated Hospital of Xi'an Jiaotong University (CN)
- First Affiliated Hospital of GuangXi Medical University (CN)
- Zhongshan Hospital (CN)
- The First Affiliated Hospital, Sun Yat-sen University (CN)
- General Hospital of Shenyang Military Region (CN)
- First Affiliated Hospital of Shihezi University Medical College (CN)
- First Affiliated Hospital of Anhui Medical University (CN)
- Renmin Hospital of Wuhan University (CN)
- First Hospital of China Medical University (CN)
- Beijing Friendship Hospital (CN)
- Beijing Ditan Hospital (CN)
- Xijing Hospital (CN)
- Chinese People's Liberation Army (CN)
- First Affiliated Hospital of Nanchang University (CN)
- Inner Mongolia Medical University (CN)
- Yangzhou University (CN)
- Nanjing Medical University (CN)
- Nanjing University (CN)
- Air Force Medical University (CN)
Publication Details
- Journal
- BMC Medicine
- Published
- 2026-10-15
- DOI
- https://doi.org/10.1186/s12916-026-05289-7
- Primary Topic
- Pancreatitis Pathology and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00