Outcomes of cellophane banding for congenital portosystemic shunts in 106 dogs and 5 cats
Outcomes of cellophane banding for congenital portosystemic shunts in 106 dogs and 5 cats
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DOI：
10.1111/j.1532-950x.2004.04011.x
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发表时间：
2004-01-01
影响因子：
1.8
通讯作者：
Beck, JA
中科院分区：
文献类型：
--
作者：
Hunt, GB;Kummeling, A;Beck, JA
研究设计-连续病例的回顾性研究动物-106只狗和5只猫-方法-医疗记录被审查的品种，性别，手术年龄，分流解剖，术前和术后生化分析的结果，结扎后神经功能障碍，门静脉高压症或其他严重并发症的发展，结果：95只狗和5只猫都有肝外分流。11只狗有肝内分流。6只犬（5.5%）因门静脉高压症（2只犬）、结扎后神经功能障碍（2只）、脾出血（1只）和疑似麻醉剂过量（1只）而死于手术。严重并发症在肝内分流犬中比肝外分流犬更常见（P = 0.002）。结扎后神经功能障碍需要治疗10只狗和1只猫; 8只狗和猫存活。在所有存活者中，归因于门体分流的临床体征消退或显著减弱。88只动物的术后血清胆汁酸浓度或氨耐量试验结果可用; 74只（84%）正常，14只（16%）异常。多个收购分流记录在两个animal.Conclusions-Cellophane乐队是一个安全和有效的替代其他方法的attenuation.Clinical Relevance-缓慢闭塞门体分流使用各种方法正在评估世界各地。玻璃纸捆扎是一种相对简单的手术，其安全性和有效性与以前报道的技术相当。(C)版权所有2004年美国兽医学院。
Objective-To report outcomes after cellophane banding of single congenital portosystemic shunts in dogs and cats.Study Design-Retrospective study of sequential cases.Animals-One hundred and six dogs and five cats.Methods-Medical records were reviewed for breed, sex, age at surgery, shunt anatomy, results of pre- and postoperative biochemical analysis, development of postligation neurologic dysfunction, portal hypertension or other serious complications, and the owners' perception of their animal's response to surgery.Results-Ninety-five dogs and all 5 cats had extrahepatic shunts. Eleven dogs had intrahepatic shunts. Six dogs (5.5%) died as a result of surgery from portal hypertension (2 dogs), postligation neurologic dysfunction (2), splenic hemorrhage (1) and suspected narcotic overdose (1). Serious complications were more common in dogs with intrahepatic shunts than those with extrahepatic shunts (P =.002). Postligation neurologic dysfunction necessitated treatment in 10 dogs and 1 cat; 8 dogs and the cat survived. Clinical signs attributed to portosystemic shunting resolved or were substantially attenuated in all survivors. Postoperative serum bile acid concentrations or results of ammonia tolerance testing were available for 88 animals; 74 (84%) were normal and 14 (16%) were abnormal. Multiple acquired shunts were documented in two animals.Conclusions-Cellophane banding is a safe and effective alternative to other methods of attenuation.Clinical Relevance-Slow occlusion of portosystemic shunts using a variety of methods is being evaluated world wide. Cellophane banding is a relatively simple procedure with comparable safety and efficacy to previously reported techniques. (C) Copyright 2004 by The American College of Veterinary Surgeons.