The article by Jenkins et al reports a single center's experience with distal splenorenal shunt (DSRS) over a 12-year period. It helps to define the effect of shunt surgery in the overall scheme of management of patients with portal hypertension, variceal bleeding, and liver disease. The authors define which patients have been selected for shunts, what outcomes have been achieved, and where DSRS fits in the scheme of endoscopic therapy, transjugular intrahepatic portosystemic shunt (TIPS), and transplantations.
Henderson JM. Invited Critique: Distal Splenorenal Shunt. Arch Surg. 1999;134(4):420. doi:10.1001/archsurg.134.4.420