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Abstract
The purpose of the distal splenorenal shunt is to provide decompression of gastroesophageal
varices while avoiding insult to the diseased liver. However, the technical difficulty
of the operation has prevented widespread application of the procedure. It is important,
therefore, that the technical problems an hazards of the operation continue to undergo
analysis.
This report has described successful establishment of a Warren shunt in three patients
with abnormalities of the left renal vein. Previous left nephrectomy or an anomaly
of the left renal vein does not preclude the use of the distal splenorenal shunt in
the treatment of variceal hemorrhage.
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References
- Selective transplenic decompression of gastroesophageal varices by distal splenorenal shunt.Ann Surg. 1967; 166: 437
- Selective distal splenorenal shunt: technique and results of operation.Arch Surg. 1974; 108: 306
- Variations in the pattern of renal vessels and their relation to the type of posterior vena cava in man.Am J Anat. 1959; 104: 295
- Retroaortic left renal vein: a relatively frequent anomaly.Am J Clin Pathol. 1968; 50: 700
- Abdominal aortic surgery and the left renal vein.Am J Surg. 1974; 127: 552
Article info
Footnotes
☆This work was supported in part by a grant from The John A. Hartford Foundation, Inc., New York, New York.
Identification
Copyright
© 1975 Published by Elsevier Inc.
