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Technique and Results of Operation

W. Dean Warren, MD; Atef A. Salam, MD; Duane Hutson, MD; Robert Zeppa, MD

AMA Arch Surg. 1974;108(3):306-314.

Abstract
The selective distal splenorenal shunt has been evaluated from the standpoint of its effectiveness in control of gastrointestinal variceal hemorrhage in the cirrhotic and the metabolic changes induced by this procedure. It has been shown to be superior to total portosystemic shunting procedures in the metabolic aspects of the study and has a markedly lower incidence of encephalopathy as compared to previous data from our studies as well as those from numerous other investigators. The operative mortality has been progressively lowered and now has reached levels comparable to those experi

Author Affiliations
Atlanta; Miami, Fla

From the Joseph Brown Whitehead Department of Surgery, Emory University School of Medicine, Atlanta (Drs. Warren and Salam); and the Department of Surgery, University of Miami School of Medicine (Drs. Hutson and Zeppa).

Footnotes
Accepted for publication Oct 2, 1973.

Reprint requests to Emory University Hospital, 1364 Clifton Rd NE, Atlanta 30322 (Dr. Warren).

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