Cholecystoenterostomy for treatment of extrahepatic biliary tract obstruction in cats: 22 cases (1994-2003)

Journal of the American Veterinary Medical Association
Nicole J BuoteCynthia R L Webster

Abstract

To identify factors associated with outcome in cats with extrahepatic biliary tract obstruction (EHBTO) that undergo biliary diversion surgery. Retrospective case series. 22 cats. Medical records of cats with surgically confirmed EHBTO that underwent cholecystoenterostomy were reviewed. Clinical signs and physical examination findings included vomiting, anorexia, icterus, lethargy, weakness, and weight loss. Common clinicopathologic abnormalities included high serum hepatic enzyme activities and serum bilirubin concentration. Abdominal ultrasonography was performed in 21 cats, and all 21 had findings consistent with EHBTO. Eleven of 15 cats in which blood pressure was monitored had intraoperative hypotension. Eighteen cats had anemia following surgery, and 14 cats had persistent hypotension. Extrahepatic biliary tract obstruction was a result of neoplasia in 9 cats and chronic inflammatory disease in 13. Fourteen cats survived long enough to be discharged from the hospital, but only 6 survived > 6 months after surgery, all of which had chronic inflammatory disease. Median survival time for cats with neoplasia (14 days) was significantly shorter than that for cats with inflammatory disease (255 days). No other variable was assoc...Continue Reading

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Citations

Sep 28, 2012·American Journal of Veterinary Research·Alessia DianaMario Cipone
Sep 6, 2011·The Veterinary Clinics of North America. Small Animal Practice·Stephen J Mehler
Aug 18, 2009·The Veterinary Clinics of North America. Small Animal Practice·Philipp D Mayhew
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Dec 31, 2016·The Veterinary Clinics of North America. Small Animal Practice·Cynthia R L Webster

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