08/05/2024
This cutie is Co Co, who was diagnosed with a liver shunt approximately a year ago based on a CT scan. Because traditional surgery is not an option due to the location of her shunt, her treatment plan includes antibiotics, liver supplements, lactulose to aid bowel movements, and a low-protein diet. Thanks to her family’s dedication and care, Co Co has been thriving. 🌟
There are two types of liver shunts: extrahepatic (outside the liver) and intrahepatic (inside the liver). Extrahepatic shunts, commonly seen in smaller breed dogs, can often be treated with surgery. However, intrahepatic shunts, more frequently found in larger breed dogs, cannot be treated with traditional surgery due to their location within the liver. There are interventional options such as coils, but they are not as available in many areas of the world.
Dogs with liver shunts tend to be smaller in size and may experience slower growth compared to their littermates. They can show symptoms such as seizures, abnormal behaviors, and bladder stones. Sometimes the signs are quite subtle. Diagnosing liver shunts typically involves a combination of tests, including basic blood work and a specialized liver function test called bile acids. To confirm the presence and location of a shunt, a CT scan is often recommended.
While surgical intervention is ideal for most, medical management can offer hope and improved quality of life for others. Medical management consists of long term antibiotics (to decrease bacteria in the colon that could produce toxins), lactulose (to help move the f***s through the colon more quickly) and lower protein diets. One of the studies we do have showed that 33% of dogs with shunts can be managed with medical management alone. In another study, 90% of dogs treated with surgery were still alive 1500 days post diagnosis, compared to 63% of dogs treated medically.
Each case is unique, and it's essential to work closely with your veterinarian to determine the best course of action for your beloved companion.
