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Invited Critique
April 1999

Invited Critique: Distal Splenorenal Shunt

Author Affiliations

Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

Arch Surg. 1999;134(4):420. doi:10.1001/archsurg.134.4.420

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.