”The causes of death of pancreatic cancer patients are the following: 1. Scared to death Due to the lack of scientific and professional knowledge, both doctors and patients have an inexplicable fear of pancreatic cancer. Many patients are psychologically broken even before the diagnosis is made. Among all kinds of malignant tumors in the body, pancreatic cancer has the highest probability of being “scared to death”. My experience: the diagnosis of pancreatic cancer is quite difficult, and there are very few domestic experts in this field, so a single examination is often not definitive. The prognosis of most pancreatic cancers is better than expected, so don’t be blindly pessimistic. Obstructive jaundice Tumors in and around the head and neck of the pancreas can easily cause obstructive jaundice, which can be treated by surgery and stenting for the first time. Long-term uncorrected obstructive jaundice can cause liver function damage, further leading to hepatic encephalopathy. My experience: correction of obstructive jaundice should be based on the principle of not irritating the pancreatic head mass as much as possible, and when the diagnosis is unclear, it is advisable to choose measures that are less irritating to the mass for the first treatment (such as nasobiliary ducts, PTCD, surgical internal drainage, etc.). Metal stents are double-edged sword, with the ability to reduce yellowing, but irritate the tumor, easily induce local inflammation or even increase the concept of pancreatic tumor metastasis to. Regardless of which yellowing reduction measures, postoperative anti-inflammatory and biliary should be adhered to for a long time. Third, consumptive multi-organ failure Pancreatic diseases lead to reduced pancreatic enzyme secretion and digestive function, coupled with less eating, patients lose weight rapidly, which eventually leads to cachexia. My experience: correcting the nutritional status requires starting from Chinese medicine (support and regulation), Western medicine (intravenous deep nutrition) and daily diet, with each of the three parties doing its own job, taking into account the own characteristics of pancreatic disease and the need for nutrition. Intestinal obstruction” is the main manifestation of many patients with pancreatic cancer in the late stage, and its causes include edema of the stomach wall caused by pancreatic portal hypertension, tumor compression of the gastrointestinal tract, psychological factors, pain, radiation gastroenteritis, etc. My experience: identify the etiology and treat the symptoms. Unfortunately, because intestinal obstruction occurs in the late stage of the disease, no clinician has been seen so far to have the foresight to pretreat it during the treatment of early and middle stage of the disease. V. Tumor metastasis to vital organs The liver is the main destination of metastasis of pancreatic cancer, but direct death from liver failure due to extensive metastasis to the liver is rare. If retroperitoneal metastasis involves large abdominal vessels, it may lead to stenosis, thrombosis, occlusion, etc. Unfortunately, many doctors lack the ability to recognize the CTA manifestation of the corresponding vessels. My experience: there are many treatment options for liver metastases to and control of the disease is possible within a certain time frame. Where large retroperitoneal vessels are involved, CT angiography (CTA) must be done to carefully analyze the degree and extent of vascular involvement so that appropriate measures can be taken. Low back pain, mainly at night, is the main manifestation of most pancreatic diseases, which indirectly leads to a rapid decline in overall physical fitness due to the impact on sleep. My experience: low back pain is caused by lesions involving the retroperitoneal plexus, the cause of which can be a tumor or inflammatory granuloma, and there are several measures: 1. 2.Review all drugs and supplements used and eliminate all drugs that have the potential to induce pancreatitis and cause retroperitoneal fibrosis. 3, improve local microcirculation: warm the stomach with hot water bags, drink more water to reduce blood viscosity, often receive unexpected results. 4, psychological relief.