Peer-reviewed veterinary case report
Dog outcomes after gallbladder surgery with bile duct catheter use
By Piegols, Hunter J et al.·Published in Veterinary surgery : VS·2021·Ryan Veterinary Hospital of the University of Pennsylvania, United States·View original on PubMed →
PetCaseFinder translated the abstract of this peer-reviewed paper into plain English so pet owners can read it. We do not publish original research — every detail traces back to the citation above. How we work →
Original publication title: Association between biliary tree manipulation and outcome in dogs undergoing cholecystectomy for gallbladder mucocele: A multi-institutional retrospective study.
- Species:
- dog
Plain-English summary
A group of dogs undergoing surgery to remove a gallbladder mucocele had varying outcomes based on whether their common bile duct was catheterized during the procedure. The study found that dogs that had catheterization were more likely to develop postoperative pancreatitis, a painful inflammation of the pancreas, regardless of the method used for catheterization. While both groups experienced similar rates of other complications, the catheterized dogs had longer surgery times and higher levels of bilirubin, indicating more severe liver issues. Pet owners should discuss the risks of bile duct catheterization with their veterinarian if their dog needs gallbladder surgery.
People also search for: dog gallbladder surgery complications · pancreatitis after dog surgery · gallbladder mucocele treatment in dogs
Abstract
OBJECTIVE: To determine whether catheterization of the common bile duct (CBD) is associated with outcome in dogs undergoing cholecystectomy for gallbladder mucocele and to determine whether this association is modified by the catheterization method. STUDY DESIGN: Multi-institutional retrospective cohort study. ANIMALS: Dogs (n = 252) that underwent cholecystectomy for gallbladder mucocele. METHODS: Dogs were identified via electronic medical record review at four veterinary teaching hospitals. Baseline dog characteristics, surgical findings, and methods including normograde vs retrograde CBD catheterization, intraoperative outcomes, and postoperative outcomes and complications were recorded. Variables were compared between dogs with and without catheterization. RESULTS: Catheterized dogs had higher American Society of Anesthesiologists scores (P = .04), higher total bilirubin (P = .01), and were more likely to have dilated CBD at the time of surgery (P < .01). Incidence of major and minor intraoperative complications was similar between the two groups. Surgical time was longer for the catheterized group (P = .01). The overall incidence of postoperative complications was similar between the groups; however, postoperative pancreatitis was associated with performing CBD catheterization (P = .01). This association was retained as an independent association in a multivariable model that addressed baseline group differences (P = .04). Likelihood of developing postoperative pancreatitis was not different between normograde and retrograde catheterization (P = .57). CONCLUSION: Catheterization of the CBD was associated with development of postoperative pancreatitis. This was not influenced by the method of catheterization. CLINICAL SIGNIFICANCE: The requirement for catheterization of the CBD during open cholecystectomy in dogs should be carefully considered, particularly in dogs without evidence of biliary obstruction because the procedure may induce postoperative pancreatitis.
Find similar cases for your pet
PetCaseFinder finds other peer-reviewed reports of pets with the same symptoms, plus a plain-English summary of what was tried across them.
Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33226153/