Distal leinorenal shunt [DSRS]: maneouvers to overcome difficulties and make-shift

This study is meant to evaluate the technical difficulties faced during operative procedure of distal Splenorenal Shunt [DSRS] and the possibilities for shifting to other shunt procedures. 21 patients recruited from 65 cases of [DSRS]. In these cases we faced certain difficulties situations and we shifted the shunt accordingly. All our patients were classified according to Child into A and B category. Early postoperative duplex study was done to evaluate the function ofshunt and follow up endoscopic examination was done to evaluate the status of varices. Preoperative angiographic and duplex evaluation of the case can help deciding the proper plan for surgery