Distal splenorenal shunt. reassessment of rationale from Egyptian perspective

ABSTRACT

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