What is the follow-up medical care for the distal splenorenal shunt surgery?

  • Ten days after your hospital discharge date, you will meet with the surgeon to evaluate your progress. Lab work will be done at this time. You will meet again with your surgeon one month after the date of your surgery and then again in three months for additional lab work.
  • You will meet with the surgeon and nurse clinician six months after the date of your surgery and then annually for the following:
    • Lab work
    • Ultrasound of the shunt
  • More frequent follow-up visits may be necessary, depending on your condition.

Last reviewed by a Cleveland Clinic medical professional on 11/06/2017.


  • J. Michael Henderson JM, Boyer TD, Kutner MH, et al. Distal Splenorenal Shunt Versus Transjugular Intrahepatic Portal Systematic Shunt for Variceal Bleeding: A Randomized Trial. Gastroenterology 130(6):1643–51.
  • Jenkins RL, Gedaly R, Pomposelli JJ, et al. Distal splenorenal shunt: role, indications, and utility in the era of liver transplantation. Arch Surg. 1999 Apr;134(4):416-20.
  • Elwood DR, Pomposelli JJ, Pomfret EA, et al. Distal splenorenal shunt: preferred treatment for recurrent variceal hemorrhage in the patient with well-compensated cirrhosis. Arch Surg. 2006 Apr;141(4):385-8.

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