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superior mesenteric artery anterior to left renal vein
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Esophageal varices may be treated using sclerotherapy (shrinking of vessels) or by creating a shunt between the portal venous network and the systemic veins the most common being a splenorenal shunt between the splenic vein at its entry into the portal vein and the left renal vein. A shunt between the portal vein and IVC would not be made because this would shunt too much blood away from the liver, thereby causing metabolic problems.
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