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Inaccuracy of serum bile acids to predict closure after surgical attenuation of a portosystemic shunt
Author(s) -
Devriendt Nausikaa,
Vandermeulen Eva,
Or Matan,
Paepe Dominique,
Rooster Hilde
Publication year - 2018
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2017-000510
Subject(s) - medicine , postprandial , portosystemic shunt , shunt (medical) , scintigraphy , gastroenterology , surgery , radiology , nuclear medicine , portal hypertension , cirrhosis , insulin
A four‐month‐old entire female miniature schnauzer became clinically normal after surgical attenuation of a portosystemic shunt was conducted using thin film banding. Postoperatively, preprandial and postprandial serum bile acids were within normal limits at repeated occasions. On the contrary, trans‐splenic portal scintigraphy at 3 and at 28 months postoperatively showed a shunt fraction of 7 and 89 per cent, respectively. This case report illustrates that preprandial and postprandial serum bile acids are not always reliable in determining shunt closure after surgical attenuation.