Extrahepatic biliary tract surgery in the cat: a case series and review

Four cases of extrahepatic biliary tract surgery in the cat are described. The causes of the disease were inflammation of the gallbladder, distal common bile duct (CBD) or major duodenal papilla, and traumatic avulsion of the CBD. Bile peritonitis was present in two of the cats. Biliary enterostomy...

Full description

Saved in:
Bibliographic Details
Published in:Journal of small animal practice 2003-05, Vol.44 (5), p.231-235
Main Authors: Bacon, N.J, White, R.A.S
Format: Article
Language:English
Subjects:
Animals
anorexia
antibiotics
bile
Biliary Tract Surgical Procedures - methods
Biliary Tract Surgical Procedures - veterinary
Cat Diseases - surgery
Cats
Cholestasis, Extrahepatic - surgery
Cholestasis, Extrahepatic - veterinary
Enterostomy - methods
Enterostomy - veterinary
Female
gall bladder
inflammation
Male
mortality
peritonitis
postoperative complications
Postoperative Complications - veterinary
prognosis
surgery
vomiting
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Four cases of extrahepatic biliary tract surgery in the cat are described. The causes of the disease were inflammation of the gallbladder, distal common bile duct (CBD) or major duodenal papilla, and traumatic avulsion of the CBD. Bile peritonitis was present in two of the cats. Biliary enterostomy was performed in three cats, two of which were euthanased at five weeks and three months postsurgery; the third was alive at the time of writing, four months postsurgery. Cholecystectomy was curative in one cat. A literature review reveals high early mortality following biliary diversion, with only 50 per cent of cases surviving more than two weeks, and 23 per cent surviving more than six months. Surviving cats had repeated intermittent vomiting and anorexia that responded to antibiotics. No postoperative mortality was seen when biliary diversion was avoided. Whenever biliary enterostomy or temporary diversion methods are performed, a poorer prognosis should be offered due to the increased likelihood of postoperative complications and mortality.
ISSN:0022-4510
1748-5827
DOI:10.1111/j.1748-5827.2003.tb00149.x