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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 … Continue reading
Normal bile acid stimulation test results in two dogs with (presumed congenital) extra-hepatic portosystemic shunts
Although this may not be a big surprise I can’t find any published accounts specifically documenting this phenomenon. The first case involves a 5 year-old MN Shih-tsu presented on account of haematuria. There was no history of preceding signs suggesting hepatic encephalopathy. No urinary abnormalities were identified on abdominal ultrasound. However, an extra-hepatic shunt vessel … Continue reading
Bile acids in cats with portosystemic shunts
Recent cases necessitated a look at the available information on bile acids in cats with shunts. Specifically I wanted to know what are the chances of a cat with suggestive signs having a shunt when bile acids are equivocal. Do ‘normal’ bile acids levels rule out a shunt? As is often the case there is … Continue reading

