Peer-reviewed veterinary case report
Cellophane banding surgery for congenital liver shunts in dogs
By Frankel, Daniel et al.·Published in Journal of the American Veterinary Medical Association·2006·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Evaluation of cellophane banding with and without intraoperative attenuation for treatment of congenital extrahepatic portosystemic shunts in dogs.
- Species:
- dog
Plain-English summary
A group of dogs with congenital extrahepatic portosystemic shunts (a type of blood vessel problem in the liver) underwent a surgical procedure called cellophane banding to help manage their condition. Some dogs had their shunts partially narrowed during surgery, while others did not. After the surgery, the dogs that had the shunts narrowed showed varying bile acid levels over time, suggesting that this approach might not be necessary for a good outcome. Overall, the study indicates that cellophane banding can be an effective treatment for this condition without the need for additional procedures to narrow the shunts.
People also search for: dog portosystemic shunt treatment · congenital liver shunt surgery dogs · bile acid test results in dogs
Abstract
OBJECTIVE: To evaluate the effect of intraoperative attenuation of congenital extrahepatic portosystemic shunts (CEPSSs) during cellophane banding procedures in dogs. STUDY DESIGN: Retrospective case series and prospective study. ANIMALS: 18 cases evaluated retrospectively and 14 dogs evaluated prospectively. PROCEDURES: Gradual occlusion of CEPSSs was performed via cellophane banding. Shunts were occluded to a diameter < 3.0 mm during surgery in dogs prospectively enrolled in the partial attenuation group, whereas the shunt was not attenuated during surgery in dogs prospectively enrolled in the no-attenuation group or in dogs that had previously undergone surgery and were retrospectively evaluated. Postprandial serum bile acids (PPSBA) concentrations were measured before surgery and at various time points after surgery. RESULTS: Mean +/- SD PPSBA concentrations were 26.8 +/- 24.5 micromol/L at < 2.25 months after surgery (n = 16 dogs), 22.1 +/- 14.0 micromol/L from 2.25 to 6 months after surgery (12 dogs), and 34.9 +/- 32.5 micromol/L at > 6 months after surgery (22 dogs). In the prospectively enrolled dogs, mean PPSBA concentrations increased over time in dogs in the partial attenuation group, but not in dogs in the no-attenuation group. CONCLUSIONS AND CLINICAL RELEVANCE: Cellophane banding may be used to occlude larger CEPSSs and may decrease the need for intraoperative monitoring of portal vein blood pressure. The technique may facilitate minimally invasive treatment of CEPSSs in dogs. Intraoperative attenuation of CEPSSs to a diameter < 3.0 mm is not necessary and may result in a less favorable outcome.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/16649938/