Maksoud J G, Miles S, Pinto V C
J Pediatr Surg. 1978 Jun;13(3):335-40. doi: 10.1016/s0022-3468(78)80410-2.
The distal splenorenal end-to-side anastomosis (Warren shunt) decompresses esophageal varices while maintaining high portal hypertension and avoiding reduction of portal venous blood inflow to the liver. The Warren shunt was performed in seven consecutive patients with portal hypertension, including post-necrotic cirrhosis, portal thrombosis, and schistosomiasis, all with recurrent esophageal bleeding. Five shunts remained patent and two thrombosed. There was no mortality. If long-term follow-up evaluations indicate its effectiveness in preventing esophageal hemorrhage, the distal selective splenorenal shunt would be the more physiologic and safer procedure in children with portal hypertension.
远端脾肾端侧吻合术（沃伦分流术）可使食管静脉曲张减压，同时维持高门静脉压力，并避免流入肝脏的门静脉血流减少。对7例门静脉高压症患者连续实施了沃伦分流术，这些患者包括坏死性肝硬化、门静脉血栓形成和血吸虫病患者，均有复发性食管出血。5例分流保持通畅，2例发生血栓形成。无死亡病例。如果长期随访评估表明其在预防食管出血方面有效，那么远端选择性脾肾分流术对门静脉高压症患儿而言将是更符合生理且更安全的手术。
