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

Buote, Nicole J.; Mitchell, Susan L.; Penninck, Dominique G.; Freeman, Lisa M.; Webster, Cynthia R. L.

doi:10.2460/javma.228.9.1376

Cited by 71 publications

(109 citation statements)

References 39 publications

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“…It has been suggested that a 2.5-4 cm aperture length minimizes the possibility of a recurrent stenosis and cholangitis, associated with the insuffi cient drainage of the biliary tract and intestinal refl ux [25]. In this case, the surgical incision mirrored that in previous reports [7,9,[25][26][27]. A cholecystoduodenostomy is the procedure of choice in dogs and cats, because their bile is in contact with the duodenum.…”

Section: Discussionsupporting

confidence: 49%

“…Malignant neoplasms and infl ammatory conditions such as cholangiohepatitis, pancreatitis, or cholelithiasis are the main causes of extra-hepatic obstructions in felines [6,7]. Neoplastic conditions, diaphragmatic ruptures, cholelithiasis [6], choledochal cysts [8], and traumatic avulsion of the common biliary duct [9] may also cause obstructions.…”

Section: Introductionmentioning

confidence: 99%

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Resolution of a Biliary Obstruction Caused by Platynosomum fastosum in a Feline by a Modified Cholecystoduodenostomy Approach – Case Report

et al. 2018

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Diseases of the biliary tract are the most common feline hepatic disorders. Cholangitis is the term used to describe infl ammation of the biliary tract in felines and can be associated with parasites. Affected animals must undergo clinical or surgical treatment, or a combination of both. In this paper we presented a 10-year-old male, mongrel feline with an obstruction of the biliary tract caused by a rare infection of Platynosomum fastosum.

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Section: Discussionsupporting

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Resolution of a Biliary Obstruction Caused by Platynosomum fastosum in a Feline by a Modified Cholecystoduodenostomy Approach – Case Report

et al. 2018

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“…6,10 In our cats, there was no need for emergency surgical intervention, allowing time for assessment of response to medical management. This is especially pertinent for this population because the cats with CCs in our series and past reports often had comorbidities.…”

Section: Discussionmentioning

confidence: 90%

Ultrasonographic and clinicopathologic features of segmental dilatations of the common bile duct in four cats

Spain

Penninck

Webster

et al. 2017

Journal of Feline Medicine and Surgery Open Reports

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Case series summaryThis case series documents ultrasonographic and clinicopathologic features of four cats with marked segmental dilatations of the common bile duct (CBD). All cats had additional ultrasonographic changes to the hepatobiliary system, including hepatomegaly, tubular to saccular intra/extrahepatic biliary duct dilatation and biliary debris accumulation. Based on all available data the presence of extrahepatic biliary duct obstruction (EHBDO) was ruled out in 3/4 cases and was equivocal in one case. One cat underwent re-routing surgery to address the CBD dilatation after multiple recurrent infections, one cat was euthanized and had a post-mortem examination and two cats were medically managed with antibiotics, liver protectants, gastroprotectants and cholerectics.Relevance and novel informationThe ultrasonographic features of the CBD in this population of cats were supportive of choledochal cysts (CCs). The maximal diameter of the CBD dilatations exceeded 5 mm in all cases, a sign that has been previously reported to be consistent with EHBDO. In our study, dilatations were segmental rather than diffuse. Given the high morbidity and mortality associated with hepatobiliary surgery in cats, segmental dilatation of the CBD should not prompt emergency surgery. Some cats may respond to medical management. Careful planning for cyst resection was beneficial in one cat. Evaluation of CC morphology (eg, size, location, concurrent intrahepatic anomalies) may assist in selecting cats that could benefit from surgical intervention.

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“…2,[6][7][8][9] Endoscopic retrograde sphincterotomy with biliary stenting is considered the treatment of choice for many of these conditions. [14][15][16][17][18][19] Surgical biliary diversion techniques in dogs and cats have been associated with a 25% to 73% and 50% to 75% mortality rate, respectively. [14][15][16][17][18][19] Surgical biliary diversion techniques in dogs and cats have been associated with a 25% to 73% and 50% to 75% mortality rate, respectively.…”

mentioning

confidence: 99%

Initial experience with endoscopic retrograde cholangiography and endoscopic retrograde biliary stenting for treatment of extrahepatic bile duct obstruction in dogs

Berent¹,

Weisse²,

Schattner³

et al. 2015

javma

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

Cited by 71 publications

References 39 publications

Resolution of a Biliary Obstruction Caused by Platynosomum fastosum in a Feline by a Modified Cholecystoduodenostomy Approach – Case Report

Resolution of a Biliary Obstruction Caused by Platynosomum fastosum in a Feline by a Modified Cholecystoduodenostomy Approach – Case Report

Ultrasonographic and clinicopathologic features of segmental dilatations of the common bile duct in four cats

Initial experience with endoscopic retrograde cholangiography and endoscopic retrograde biliary stenting for treatment of extrahepatic bile duct obstruction in dogs

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