Distal splenorenal shunt (DSRs) in children with extrahepatic portal hypertension

Zia Ur Rehman, Zafar Nazir

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Portal hypertension (PH) is infrequent in children as compared to adults. Currently, repetitive endoscopic ablation of varices is standard treatment. However, endoscopic facilities are not readily available in resource-limited settings. We reviewed the indications, operative morbidity, mortality, shunt patency and re-bleeding episodes in nine patients (age range 6-16 years, M:F 6:3) who had DSRS for recurrent GI bleeding not responding to endoscopic treatment and hypersplenism. DSRS is a safe and effective treatment alternative in resource limiting setting for preventing bleeding and improving hypersplenism in children with extrahepatic portal hypertension.

Original languageEnglish
Pages (from-to)1228-1229
Number of pages2
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Issue number12
Publication statusPublished - 2019


  • Children
  • Distal splenorenal shunt (DSRS)
  • Esophageal varices
  • GI bleeding
  • Portal hypertension


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