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  • Title: Which portosystemic shunt is best?
    Author: Rikkers LF, Sorrell WT, Jin G.
    Journal: Gastroenterol Clin North Am; 1992 Mar; 21(1):179-96. PubMed ID: 1568772.
    Abstract:
    No single shunt operation is ideal for all patients or all circumstances. The selective distal splenorenal shunt is preferred for the majority of patients, because it has the potential to preserve hepatic portal perfusion. Most evidence suggests that the distal splenorenal shunt is followed by a lower frequency of encephalopathy than is any type of nonselective shunt. Although theoretically attractive, the small-diameter interposition portacaval shunt has not yet been subjected to the scrutiny of controlled trials.
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