Hamon Martin, Haudiquet Philippe P, Bruwier Aurelie, Schreiber Kevin, Jossier Renaud, Charbonneau Morgane, Picavet Pierre P
Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS 66506, USA.
VetRef-Anicura, Referral Veterinary Clinic, 49070 Beaucouze, France.
Vet Sci. 2025 Feb 20;12(3):190. doi: 10.3390/vetsci12030190.
Reports on patients with a gastrophrenic shunt treated with cellophane banding without attenuation are scarce. This case series evaluated the outcomes of cellophane banding without intraoperative attenuation in patients with a congenital left gastrophrenic shunt. Seven client-owned dogs and five client-owned cats with congenital left gastrophrenic shunt were included. Data collected from the medical records included signalment, history, physical examination, clinicopathologic testing, diagnostic imaging (pre and postoperative), perioperative complications, hepatic histopathological evaluation, and clinical outcomes. The application of a cellophane band without intraoperative attenuation of congenital left gastrophrenic shunts resulted in complete closure in 10/11 patients at a median follow-up of 60 days (range: 33-174) based on ultrasound. The mean shunt diameter was 6.1 mm (range: 4.2-8). One dog had partial closure of the shunt at 3 months but was lost to follow-up. One dog died perioperatively from seizures. One cat experienced post-attenuation neurologic signs that completely resolved. Cellophane banding without intraoperative attenuation appeared to be a safe and potentially effective approach for managing gastrophrenic shunts. The percentage of shunt closure observed in this cases series is higher than that historically reported for other shunt localizations. Shunt localization may influence closure. Residual shunting may not be associated with shunt diameter. Further studies with larger sample sizes and standardized follow-ups are needed to confirm its efficacy.
关于使用未减张的玻璃纸束带治疗胃膈分流患者的报道很少。本病例系列评估了先天性左胃膈分流患者术中未减张的玻璃纸束带治疗效果。纳入了7只客户拥有的患有先天性左胃膈分流的犬和5只客户拥有的患有先天性左胃膈分流的猫。从病历中收集的数据包括特征、病史、体格检查、临床病理检查、诊断性影像学检查（术前和术后）、围手术期并发症、肝脏组织病理学评估和临床结果。基于超声，在中位随访60天（范围：33 - 174天）时，对11例先天性左胃膈分流患者应用未减张的玻璃纸束带，其中10例实现了完全闭合。分流平均直径为6.1毫米（范围：4.2 - 8毫米）。1只犬在3个月时分流部分闭合，但失访。1只犬围手术期死于癫痫发作。1只猫出现减张后神经症状，但已完全缓解。术中未减张的玻璃纸束带似乎是治疗胃膈分流的一种安全且可能有效的方法。本病例系列中观察到的分流闭合百分比高于历史上报道的其他分流部位。分流部位可能影响闭合情况。残余分流可能与分流直径无关。需要进一步开展更大样本量和标准化随访的研究以证实其疗效。
