Abstract
The selective distal splenorenal shunt has been evaluated from the standpoint of its effectiveness in control of gastrointestinal variceal hemorrhage in the cirrhotic and the metabolic changes induced by this procedure. It has been shown to be superior to total portosystemic shunting procedures in the metabolic aspects of the study and has a markedly lower incidence of encephalopathy as compared to previous data from our studies as well as those from numerous other investigators. The operative mortality has been progressively lowered and now has reached levels comparable to those experi
