As a result, swollen blood vessels called varices form. They develop thin walls that can break and bleed. You may have this surgery if imaging tests such as endoscopy or x-rays show that you have bleeding varices. DSRS surgery reduces pressure on the varices and helps control bleeding. Risks Risks for anesthesia and surgery in general are: Allergic reactions to medicines or breathing problems Bleeding, blood clots, or infection Risks of this surgery include: Buildup of fluid in the belly ascites Repeat bleeding from the varices Encephalopathy loss of brain function because the liver is unable to remove toxins from the blood Before the Procedure Before the surgery, you may have certain tests: Angiogram to view inside the blood vessels Blood tests Endoscopy Give your health care provider a list of all the medicines you take including prescription and over-the-counter, herbs, and supplements.
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A distal splenorenal shunt is a surgical procedure. During the surgery, the vein from the spleen called the splenic vein is detached from the portal vein and reattached to the left kidney renal vein. This surgery selectively reduces the pressure in your varices the large, swollen veins that develop across the stomach and esophagus and controls the bleeding and clotting.
Fig 1: Portal hypertension before the distal splenorenal shunt surgery is performed. Varices develop across the esophagus and stomach from the pressure in the portal vein. The backup of pressure also causes the spleen to become enlarged.
Fig 2: After the distal splenorenal shunt surgery is performed. The vein from the spleen is disconnected from the portal vein and reconnected to the top of the left renal vein. The left gastric vein is disconnected from the portal vein and tied off. The blood flows from the varices through the splenic vein, to the left renal vein and empties into the inferior vena cava.
The blood flow to the liver is maintained through the portal vein. Why do I need to have the distal splenorenal shunt procedure? X-rays and blood tests confirm that you have variceal bleeding due to portal hypertension. Portal hypertension is a condition characterized by increased pressure in the portal vein the vein that carries blood from the digestive organs to the liver. Your physician has chosen the distal splenorenal shunt procedure to treat this condition.
This procedure helps control the bleeding in the varices, without taking the blood flow away from your liver, which could make your liver disease worse.
Distal Splenorenal Shunt
Distal splenorenal shunt
Distal splenorenal shunt procedure