Choledochal tube stenting for decompression of the extrahepatic portion of the biliary tract in dogs: 13 Cases (2002-2005)

Philipp Mayhew, Robert W. Richardson, Stephen J. Mehler, David E. Holt, Chick W. Weisse

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objective - To determine clinicopathologic features, surgical management, complications, and long-term outcome associated with diseases of the extrahepatic portion of the biliary tract treated via choledochal stent placement in dogs. Design - Retrospective case series. Animals-13 dogs. Procedure-Data were obtained from medical records, and follow-up information was obtained via reexamination or telephone interview with owners or referring veterinarians. Results - 10 dogs had extrahepatic biliary obstruction (EHBO), 6 as a result of pancreatitis. Two dogs had rupture of the common bile duct associated with cholelithiasis. In 1 dog, a stent was placed prophylactically after gastroduodenostomy was performed for a perforated duodenal ulcer. Nine of 13 dogs survived the perioperative period and were discharged. No recurrence of EHBO or other complications developed in the discharged dogs while the stents were in place. Median follow-up period from surgery to last owner contact was 13.3 months. In 1 dog, the stent was removed endoscopically 10 months after surgery and EHBO recurred 9 months after stent removal because of cholangitis. In 4 of 5 dogs that were discharged from the hospital, in which the fate of the stent could be confirmed and the stent was secured to the duodenal wall with absorbable suture materials, the stents were passed in the feces 1 to 11 months after surgery. Conclusions and Clinical Relevance - Choledochal tube stenting is an effective method of decompression of the extrahepatic portion of the biliary tract in dogs and provides a less complex alternative to traditional cholecystoenterostomy techniques in select cases.

Original languageEnglish (US)
Pages (from-to)1209-1214
Number of pages6
JournalJournal of the American Veterinary Medical Association
Volume228
Issue number8
DOIs
StatePublished - Apr 15 2006
Externally publishedYes

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biliary tract
Biliary Tract
Decompression
Stents
Dogs
dogs
cholestasis
surgery
duodenal ulcers
cholelithiasis
Perioperative Period
Cholangitis
Cholelithiasis
pancreatitis
bile ducts
Veterinarians
Common Bile Duct
sutures
Duodenal Ulcer
Feces

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Choledochal tube stenting for decompression of the extrahepatic portion of the biliary tract in dogs : 13 Cases (2002-2005). / Mayhew, Philipp; Richardson, Robert W.; Mehler, Stephen J.; Holt, David E.; Weisse, Chick W.

In: Journal of the American Veterinary Medical Association, Vol. 228, No. 8, 15.04.2006, p. 1209-1214.

Research output: Contribution to journalArticle

Mayhew, Philipp ; Richardson, Robert W. ; Mehler, Stephen J. ; Holt, David E. ; Weisse, Chick W. / Choledochal tube stenting for decompression of the extrahepatic portion of the biliary tract in dogs : 13 Cases (2002-2005). In: Journal of the American Veterinary Medical Association. 2006 ; Vol. 228, No. 8. pp. 1209-1214.
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