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Invited Critique
October 2002

Splenorenal Shunt—Invited Critique

Arch Surg. 2002;137(10):1130. doi:10.1001/archsurg.137.10.1130

Is there any role for surgical decompression in treating variceal bleeding? This question is frequently asked because there are now many other options. Pharmacologic and endoscopic therapies are optimal first-line treatments, TIPS has been widely applied to decompress portal hypertension, and liver transplantation for end-stage liver disease is used to treat a significant number of patients with variceal bleeding. The authors of this article show that for a population of patients in the Pacific Islands, surgical decompression of varices provided good therapy for variceal bleeding.

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