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HPB Surgery
Volume 2 (1990), Issue 1, Pages 41-49

Does the Warren Shunt Correct Hypersplenism?

1University Department of Surgery, St James's University Hospital, Leeds, United Kingdom
2University Department of Surgery, Clinical Sciences Building, St James's University Hospital, Beckett Street, Leeds LS9 7TF, United Kingdom

Received 12 May 1988; Accepted 27 April 1989

Copyright © 1990 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


It has been suggested that patients with bleeding varices and hypersplenism will show significant improvements in leucocyte and platelet counts following distal splenorenal (Warren) shunt surgery. Whilst this may be true in the short term, this report shows that in the long term hypersplenism is not relieved, whereas the lienorenal shunt is associated with a return of normal haematological values.