Proximal and distal splenorenal shunting

Proximal splenorenal shunting with splenectomy was performed on 60 patients (51 men, nine women) with portal hypertension between May 1976 and April 1981. The selection of these cases was made by the Portal Hypertension Team of the Medical Faculty, University of Indonesia and Cipto Mangunkusumo Hospital. Operative mortality occurred in 14 cases (6.6%). Distal splenorenal shunting without splenectomy was subsequently performed in 46 cases (38 men, eight women) between September 1982 and December 1986. There were four operative fatalities (8.7%). No signs of postoperative encephalopathy were observed with either modes of treatment.