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  • Title: [Distal splenorenal shunt (Warren's operation) in the treatment of portal hypertension. Apropos 3 cases].
    Author: Popescu I, Ionescu M, Tomulescu V.
    Journal: Chirurgia (Bucur); 1996; 45(1):21-5. PubMed ID: 8924784.
    Abstract:
    Three cases of distal spleno-renal shunt (Warren operation) are reported. These are the first in the romanian medical literature. The cause of the portal hypertension was a Child A liver cirrhosis in all three cases. All patients survived. Two early postoperative complications were noticed: transient ascites and pancreatic pseudocyst and a late development of a hepatic nodule (probably hepatoma). There was no encephalopathy and no liver failure in the two cases that could be followed (for 1 year and, respectively, 6 months). Although small, these experience confirms what other studies show, that Warren shunt seems to be the operation of choice for portal hypertension.
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