Extrahepatic Biliary Tract Obstruction

Steve J. Mehler, Philipp Mayhew

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

The diseases that lead to a need for surgery of the extrahepatic biliary tract (EHBT) in dogs are primarily acquired conditions and include EHBT obstruction, gallbladder mucocele, traumatic injury, and cholecystitis. The main goal of surgery is to confirm the underlying disease process, establish a patent biliary system, and minimize perioperative complications. Clinical signs in dogs with surgical diseases of the biliary tree are nonspecific and mimic other abdominal disorders. Radiography should be undertaken in veterinary patients with clinical signs and laboratory abnormalities consistent with biliary disease. Hepatobiliary scintigraphy in animals with hepatic and biliary disease has been investigated and used clinically in patients with EHBT obstruction and may be a valuable diagnostic tool for differentiating EHBT obstruction from hepatocellular disease. Causes of EHBT obstruction in small animals include cholelithiasis, neoplasia, pancreatitis, inspissated bile, gallbladder mucoceles, parasites, duodenal foreign body, and diaphragmatic hernia.

Original languageEnglish (US)
Title of host publicationSmall Animal Soft Tissue Surgery
PublisherWiley Blackwell
Pages462-484
Number of pages23
ISBN (Print)9781118997505, 9780813807829
DOIs
StatePublished - Jan 4 2013

Keywords

  • Biliary system
  • Cholecystitis
  • Cholelithiasis
  • Extrahepatic biliary tract (EHBT) obstruction
  • Gallbladder mucocele
  • Hepatobiliary scintigraphy
  • Neoplasia
  • Pancreatitis
  • Radiography

ASJC Scopus subject areas

  • veterinary(all)

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  • Cite this

    Mehler, S. J., & Mayhew, P. (2013). Extrahepatic Biliary Tract Obstruction. In Small Animal Soft Tissue Surgery (pp. 462-484). Wiley Blackwell. https://doi.org/10.1002/9781118997505.ch47