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09-03-2009, 04:07 PM | #1 |
Donating YT 500 Club Member Join Date: Apr 2008 Location: Texas
Posts: 664
| Liver Shunt Repair & BAT My baby girl had her liver shunt repaired in March at UT and I just had her BAT redone for the second time. Her post meal number was 46 which is a huge improvement, but still high. Is this indicitave of MVD or should I give the ring a little more time to do it's job? I've posted her numbers below: Pre meal: 2/09 43 post surgery - (surgery 3/09) 5/09 10.9 9/09 2.5 Post meal: 2/09 236 post surgery 5/09 132 9/09 46 Thanks! ~~~ Valerie |
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09-03-2009, 04:16 PM | #2 |
Donating YT 30K Club Member | I don't have any experience with BA's after surgery but I hope someone who does will post. It sounds hopeful.
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09-03-2009, 09:38 PM | #3 | |
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09-04-2009, 04:02 AM | #4 |
Donating YT 500 Club Member Join Date: Apr 2008 Location: Texas
Posts: 664
| Dr. Tobias did do a biopsy and it was normal. It was my impression that they could still have MVD, even with a normal biopsy. Am I mistaken? I hope so. I have never heard that the biopsy would conclusively prove no MVD. I will certainly ask. I sure hope you are right because it would save me a lot of worrying about her food, snacks, vaccines, etc. I will keep you posted. Thanks ~~~ Valerie |
09-04-2009, 05:02 AM | #5 | |
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09-04-2009, 05:08 AM | #6 | |
Donating YT 500 Club Member Join Date: Apr 2008 Location: Texas
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09-04-2009, 05:53 AM | #7 |
Slave to My Rug-Rats Donating Member Join Date: Jun 2005 Location: Long Island
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| Good, I think UT would have the best answers for you |
09-04-2009, 07:58 AM | #8 |
BANNED! Join Date: May 2007 Location: USA
Posts: 11,073
| that is great let us know always wanting to learn more about this since it affects our breed so much |
09-04-2009, 02:27 PM | #9 | |
Senior Yorkie Talker Join Date: Dec 2004 Location: Salt Lake City, UT
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Thanks
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09-04-2009, 03:00 PM | #10 |
Donating YT 500 Club Member Join Date: Apr 2008 Location: Texas
Posts: 664
| I called the main number today (865-974-8384) and explained I was a patient from March and left her a voice mail. I did not hear back, but my vet got a written report back from her this morning. That's even better because I won't forget what she said! Good luck! |
09-04-2009, 03:07 PM | #11 |
Donating YT 500 Club Member Join Date: Apr 2008 Location: Texas
Posts: 664
| My vet received a written report from Dr. Tobias this morning and these are just excerpts from it: About passing the denamarin whole - "As noted in your communication, her bile acids are improved at 2.5 and 46 (9/2/09) but still not normal. You also noted that she has been passing the denamarin almost unchanged. I agree about discontinuation of the lactulose. Since her chemistry panel is normal and she has gained weight, she should do well on the liver diet alone...." "Based on Lola's bile acids and bloodwork, I would suspect that she has microvascular dysplasia secondary to congenital portal hypoplasia. The only way to know for sure is to repeat the scintigraphy and liver biopsy...." I don't think she recommends repeating the Scintigraphy and biopsy again, and my vet agrees. We will just maintain Lola on a good, solid low protein diet. She has done super since the surgery and we will continue with what we are doing. ~~~ Valerie, "Lola & Harley" |
09-05-2009, 10:08 PM | #12 | |
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09-06-2009, 05:05 AM | #13 |
Donating YT 500 Club Member Join Date: Apr 2008 Location: Texas
Posts: 664
| Dr. Tobias did biopsy the liver when she corrected the shunt and it came back normal. It is a little confusing to me but Lola seems to be doing so well I will just keep her on a low protein diet and she should do fine. It has been explained to me (in very simple terms, so I could understand) that this could be acquired shunting that developed after the ring was put on the large shunt. Apparently, this sort of MVD causes few problems and is easily managed with diet. We'll see. Lola has never had any neurological symptoms of a shunt except for small growth and lethargy, and she has gained weight and is full of energy since her surgery. Keeping her on the low protein diet is easy! Last edited by Lolasmom1211; 09-06-2009 at 05:07 AM. |
09-06-2009, 06:09 AM | #14 | |
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09-06-2009, 01:11 PM | #15 |
Donating YT 500 Club Member Join Date: Apr 2008 Location: Texas
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| Thank you...it's easy to take care of these little ones when they are so sweet! |
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