Gallbladder mucocele (GBM) is an increasingly recognized biliarydisease in dogs 1 – 8 and is characterized by an accumulation of thick amorphous mucus in the gallbladder, possibly due to biliary stasis and hypersecretion. 9 , 10
of biliarydisease that did not include use of surgery were excluded.
Data extracted from medical records included sex, breed, body weight, age at surgery, survival time, concurrent disease, preoperative and postoperative CBC and
cholecystectomy alone in dogs ranges from 7% to 33.3% and in humans is approximately 30%, with a better prognosis possible when performed in response to GBM versus other biliarydiseases. 2,3,5,6,11
Indications for extrahepatic biliary tract surgery include GBM
of the mucolytic effects of NAC. In clinical practice, mucolytics would be used in dogs with biliarydisease to decrease the viscosity of biliary sludge or help dissolve a gallbladder mucocele, and we believe the viscosity-decreasing effect of NAC
have transient causes of EHBO, are too unstable to undergo more invasive biliary diversion techniques, or have biliarydiseases that could benefit from palliation alone.
The authors declare that there were no conflicts of
yielded no growth.
Cystic biliarydisease is rare in dogs and cats. The cysts are lined by a single layer of biliary epithelium and may vary in size. Typical ultrasonographic appearance of hepatic cysts includes thin walls, absence of internal echoes
for decompression of the biliary tract in dogs
Biliary rerouting procedures have been used with success in dogs with extrahepatic biliarydiseases in which the underlying disease process prevents normal passage of bile from the hepatic ducts
Canine extrahepatic biliarydiseases are uncommon and often surgically challenging. Extrahepatic biliary obstruction and leakage of bile with subsequent bile peritonitis represent the most common clinical syndromes. The most common causes of
, biliarydisease, pancreatic disease, and intestinal disease are often concurrent pathological changes that are linked to anatomic characteristics. 10 The common bile duct merges with the pancreatic duct and travels adjacent to pancreatic parenchyma before
of gastrointestinal tract, pancreatic, or extrahepatic biliarydisease revealed that this was an effective method of providing postoperative enteral nutritional supplementation with a low rate of serious postoperative complications.
See PAGE 380