Portal Hypertension (cont.)In this Article
What Happens in the DSRS Procedure?The DSRS is a surgical procedure during which the vein from the spleen (called the splenic vein) is detached from the portal vein and attached to the left kidney (renal) vein. This surgery selectively reduces the pressure in the varices and controls the bleeding associated with portal hypertension. It is usually performed only in patients with good liver function. A general anesthetic is given before the surgery, which lasts about four hours. You should expect to stay in the hospital from seven to 10 days. How Successful Is the DSRS Surgery? DSRS controls bleeding in more than 90% of patients, with the highest risk of any re-bleeding occurring in the first month. The DSRS procedure provides good long-term control of bleeding in those with portal hypertension. What Complications Are Associated With DSRS Surgery? Ascites, an accumulation of fluid in the abdomen, can occur with DSRS surgery. This can be treated with diuretics and restricted sodium intake Follow-Up Care Following TIPS or DSRS ProceduresFollow-up care for TIPS and DSRS can differ depending on where the procedures are performed. Below find basic guidelines.
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