Evaluation of cellophane banding with and without intraoperative attenuation for treatment of congenital extrahepatic portosystemic shunts in dogs

Journal of the American Veterinary Medical Association
Daniel FrankelEric Monnet

Abstract

To evaluate the effect of intraoperative attenuation of congenital extrahepatic portosystemic shunts (CEPSSs) during cellophane banding procedures in dogs. Retrospective case series and prospective study. 18 cases evaluated retrospectively and 14 dogs evaluated prospectively. 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. 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. Cellophane banding may be used to occlude ...Continue Reading

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Citations

Jun 6, 2009·Journal of Veterinary Internal Medicine·S ProotJ Rothuizen
Aug 11, 2010·Journal of Veterinary Internal Medicine·D F HoganK Sederquist
Mar 9, 2011·Journal of Veterinary Internal Medicine·S BuobC R L Webster
Nov 5, 2008·American Journal of Veterinary Research·Steven S LeshemS Brent Reimer
Mar 4, 2008·Journal of the American Veterinary Medical Association·Deanna R Worley, David E Holt
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Jul 9, 2010·Journal of the American Animal Hospital Association·Michelle MertensMatthew W Miller

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