Distal splenorenal shunt. reassessment of rationale from Egyptian perspective

Selective distal splenorenal shunt [DSRS] occupied an important role in the management of bleeding esophageal varices. This role, however, has been challenged by the introduction of new therapies over the past two decades. This encouraged us to reassess our experience with DSRS in order to evaluate its role in the management of portal hypertension at the present time. The results presented in this paper as well as the reported results of the new modalities support the important role of DSRS in the management of variceal bleeding in appropriately selected Egyptian patients

study of some metabolic and hemodynamic changes following distal splenorenal shunt [warren] and splenectomy-vasoligation

Thirty cases of portal hypertension with bleeding esophageal varices were presented in this study. Twenty patients were subjected to splenectomy vasoligation and ten patients were subjected to warren's distal splenorenal shunt.Hemodynamic and metabolic aspects were studied in relation to both procedures