More on portosystemic shunts in cats and dogs with normal post-prandial bile acids
Just a snippet of information -but something I’ve always struggled to find published confirmation of in the past: that both cats and dogs with portosystemic shunts may have normal range pre- and post-prandial bile acids.
I note that in the recent JVIM paper:
J Vet Intern Med. 2019 Nov 19. doi: 10.1111/jvim.15649. [Epub ahead of print]
Complications and outcome of cats with congenital extrahepatic portosystemic shunts treated with thin film: Thirty-four cases (2008-2017).
Valiente P1, Trehy M2, White R3, Nelissen P4, Demetriou J1, Stanzani G5, de la Puerta B2.
https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.15649
‘Fasting serum bile acid concentration was abnormal in 22 of 30 (73%) cats, and poststimulation serum bile acid concentration was abnormal in 32 of 33 (97%) cats‘
Obviously, I suspect that cats with shunts and normal range bile acids often remain undiagnosed and are almost certainly under-represented in this, and other, published series.
That adds to the picture in dogs previously discussed:
