RT Journal A1 Henderson J T1 Invited critique: Distal splenorenal shunt JF Archives of Surgery JO Archives of Surgery YR 1999 FD April 1 VO 134 IS 4 SP 420 OP 420 DO 10.1001/archsurg.134.4.420 UL http://dx.doi.org/10.1001/archsurg.134.4.420 AB Child class A and B patients with recurrent variceal bleeding were candidates for DSRS, and as reported in other surgical series, the authors achieved a low operative mortality rate (6.2%) and good long-term survival rates, 86% at 1 year and 74% at 5 years. The rebleeding rate was 6.8%, the encephalopathy rate was 14.9%, and the transplantation rate was 13.6%, with a median follow-up time of approximately 5 years, indicating what can be achieved in a highly selected group of patients.