Two months ago, the gastroscopic examination of ulcers, portal hypertension, drug treatment is not fruitful surgical treatment cut stomach cut spleen to cure portal hypertension, can not cut spleen and have a cure for portal hypertension method? 1, gastric ulcer patients should first consider medical treatment if malignancy can be ruled out, and patients with portal hypertension need to pay particular attention. Because elevated portal vein pressure often causes esophagogastric fundic varices, gastric edema, rash gastrectomy, the incidence of complications is high. Once hypersplenism occurs in patients with portal hypertension, removal of the spleen is often the procedure of choice. Although methods such as splenic artery embolization, arterial flow restriction, and portal shunt are also available, the results are debatable. 3. The limited data on this patient precludes any further judgment. (1) What is the initial etiology of portal hypertension: post-viral hepatitis cirrhosis? Boo-ga syndrome? Portal vein cavernous vascular degeneration? It needs to be clarified. (2) Gastroscopy suggests ulcer, was pathology taken? Has it been treated with standardized internal medicine (with or without HP-H. pylori infection)? If the ulcer has not healed after two months of treatment, it suggests that a further gastroscopy and pathology should be performed. Portal hypertension is a series of clinical manifestations of the decompensated phase of cirrhosis and can only be controlled as much as possible without a cure (and the chances of liver transplantation are very slim). Surgical treatment is often “symptomatic” for conditions such as upper gastrointestinal bleeding or hypersplenism. Specialized treatment in gastroenterology and general surgery is recommended. For patients with portal hypertension combined with gastric cancer, total gastrectomy + splenectomy is a better option. For example, if the distal gastric cancer is radically treated for sinus cancer, the spleen is removed to destroy the short gastric artery, which is the last blood supply of the remnant stomach, and the incidence of gastric fistula is very high. In general patients there is hope for healing, as for patients with portal hypertension, it can be fatal. If there is no indication for splenectomy, preserving the spleen may be a better option. Recent research statistics show that removal of the spleen does not prolong the survival of patients with gastric cancer, while preserving the spleen reduces the incidence of postoperative complications. Of course, the prerequisite is that there is no infiltrative metastasis in the spleen and it does not interfere with the clearance of the splenic hilar lymph nodes, which requires a high level of surgical skill.