CONCLUSIONS: Splenorenal shunt is an important treatment for noncompliant patients or patients living in remote areas where access to specialized treatments, such as endoscopy, transjugular intrahepatic portosystemic shunt, ultrasonography, and liver [ncbi.nlm.nih.gov]

Hepatic myelopathy is a rare complication of chronic liver disease that is associated with extensive portosystemic shunts. [ncbi.nlm.nih.gov]