Gemy:Some shunts are hidden by or within the liver and are not operable. These dogs are medically managed, but the issue is that there will still be excess ammonia in the blood which can not be eliminated. Unfortunately, many of these dogs progress to neurological damage as the impurities in their system cross the blood/brain barrier and eventually almost 50% will have to be put down before the end of their natural lives due to complications.
If the surgery was not done previously, I would seek a second opinion of if it could be done. If your dog is a post surgery dog and the problems are returning, it could be a secondary shunt that happened as or after the older shunt was closing itself after surgery. This is also somewhat common.
__________________ Russ  , Denise  , Bella  and Bailey  . |