| Portosystemic shunts: diagnosis, prognosis, and treatment of 64 cases (1993-2001). | |
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MedLine Citation:
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PMID: 12617545 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cases diagnosed with portosystemic shunting between the years 1993 and 2001 were reviewed. Sensitivities of screening tests and abdominal ultrasonographic evaluation for the detection of portosystemic shunting were evaluated. Prognosis for surgically treated shunts was also evaluated. Results indicated that both paired serum bile acids and blood ammonia levels were useful screening tests for portosystemic shunting. However, paired bile acid tests were significantly more sensitive than blood ammonia levels. Overall postoperative mortality rates for extrahepatic shunts and intrahepatic shunts were 8.7% and 20%, respectively. Postoperative mortality rates were slightly higher for animals treated with partial ligation when compared to those treated with ameroid ring placement, although this did not reach statistical significance. Long-term complication rates for animals with single extrahepatic portosystemic shunts treated with complete ligation, ameroid ring placement, and partial ligation alone were 9%, 15.4%, and 42%, respectively. Animals >2 years of age with extrahepatic shunts had almost identical postoperative mortality and long-term complication rates as animals < or = 2 years of age. No animal in this study had paired bile acid samples within the reference range postoperatively, indicating continued abnormal liver function after surgery. |
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Authors:
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James T Winkler; Mark W Bohling; D Michael Tillson; James C Wright; Antonio J Ballagas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the American Animal Hospital Association Volume: 39 ISSN: 0587-2871 ISO Abbreviation: J Am Anim Hosp Assoc Publication Date: 2003 Mar-Apr |
Date Detail:
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Created Date: 2003-03-05 Completed Date: 2003-03-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0415027 Medline TA: J Am Anim Hosp Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 169-85 Citation Subset: IM |
Affiliation:
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Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, Alabama 36849-5523, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Alabama
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epidemiology Animals Breeding Cat Diseases / diagnosis, epidemiology*, etiology, surgery* Cats Dog Diseases / diagnosis, epidemiology*, etiology, surgery* Dogs Female Hypertension, Portal / epidemiology, surgery, veterinary* Ligation / mortality, veterinary Male Portal System / abnormalities, surgery Postoperative Complications / veterinary Records as Topic / veterinary Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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