What is a warren shunt surgery?
In medicine, a distal splenorenal shunt procedure (DSRS), also splenorenal shunt procedure and Warren shunt, is a surgical procedure in which the distal splenic vein (a part of the portal venous system) is attached to the left renal vein (a part of the systemic venous system).
What causes Splenorenal shunt?
Results: The elevation of portal pressure and resistance in cirrhosis leads to an increased gradient between portal pressure and systemic blood flow, potentially initiating portosystemic (PS) shunt formation.
What is a spleen renal shunt?
A splenorenal shunt refers to an abnormal collateral portosystemic communication between the splenic vein and the left renal vein. It is one of the features of portal hypertension.
What is proximal splenorenal shunt?
Proximal splenorenal shunt (PSRS) is a well-established procedure for patients with non-cirrhotic portal hypertension (NCPH) with upper gastrointestinal bleeding refractory to medical therapy. PSRS is a onetime solution for variceal bleeding, massive splenomegaly, symptomatic hypersplenism and portal biliopathy [1].
Does portal vein thrombosis cause pain?
Portal vein thrombosis causes upper abdominal pain, possibly accompanied by nausea and an enlarged liver and/or spleen; the abdomen may be filled with fluid (ascites). A persistent fever may result from the generalized inflammation.
What is the Lienorenal ligament?
Medical Definition of lienorenal ligament : a mesenteric fold passing from the spleen to the left kidney and affording support to the splenic artery and vein. — called also phrenicolienal ligament.
How do you get rid of portal vein thrombosis?
Surgery. Surgical options may be recommended depending on the severity of PVT damage. As a last resort, your doctor may recommend shunt surgery. This procedure involves placing a tube between the portal vein and the hepatic vein in the liver to prevent excess bleeding and to reduce pressures in the veins.