Okay, I'm back.
If the postprandial result is under 100, it is indicative of MVD, which is a disorder that presents identically to LS, except there is no shunt. It is inoperable, but successfully managed with diet alone, or diet and Lactulose if necessary.
If the result is over 100, it is indicative of LS, and if a single shunt is present, is operable. (98% success rate at U of Tenn. considerably less at other animal hospitals/clinics) Multiple shunts cannot be repaired, but are managed with diet and meds.
So if the postprandial result is less than 100 = low protein diet
If over 100 = low protein diet, Lactulose and Denamarin (liver support)
and further testing (at U of Tenn) scintigraphy most likely, to determine if there is one or more shunts. |