Chronic Pancreatitis in Surgery — 38yo Man | General Surgery | SMLE Q#16873
SMLE Question #16873
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 38-year-old man with chronic pancreatitis presents after an episode of upper gastrointestinal bleeding. Endoscopy shows isolated gastric fundal varices without esophageal varices. Imaging demonstrates splenic vein thrombosis with a patent portal vein and no radiologic evidence of cirrhosis. Endoscopic therapy controlled the acute bleeding. What is the most appropriate definitive management to prevent re-bleeding?
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