Skip to main content

Research Repository

Advanced Search

Treatment of intrahepatic congenital portosystemic shunts in dogs: a systematic review

Tivers, M S; Lipscomb, V J; Brockman, D J

Authors

M S Tivers

V J Lipscomb

D J Brockman



Abstract

The aim of this study was to establish the evidence base for the treatment of intrahepatic congenital portosystemic shunts in dogs through a systematic review of the pertinent literature. Studies were filtered for evidence to answer the question “Which of the treatment options for intrahepatic CPSS in dogs offers the best short‐ and long‐term outcome?” Studies were assigned a level of evidence based on a system published by the Oxford Centre for Evidence‐Based Medicine. Thirty‐two studies were included in the review. Twenty‐six provided level 4 evidence and six provided level 5 evidence. There were no level 1, 2 or 3 studies. One study compared surgical treatment with medical management and one study compared suture ligation with ameroid constrictor placement. The remaining studies were case series describing the outcome for one treatment method alone. Methods and timings of assessments of short‐ and long‐term outcomes were highly varied, making direct comparisons challenging. The evidence regarding the treatment of intrahepatic congenital portosystemic shunts in dogs is weak, with only two studies directly comparing treatments. There is a lack of evidence regarding short‐ and long‐term outcomes on which to base clinical decisions.

Citation

Tivers, M. S., Lipscomb, V. J., & Brockman, D. J. (2017). Treatment of intrahepatic congenital portosystemic shunts in dogs: a systematic review. Journal of Small Animal Practice, 58(9), 485-494. https://doi.org/10.1111/jsap.12712

Journal Article Type Article
Acceptance Date May 21, 2017
Publication Date Sep 4, 2017
Deposit Date Feb 6, 2018
Publicly Available Date Aug 1, 2018
Journal JOURNAL OF SMALL ANIMAL PRACTICE
Print ISSN 0022-4510
Electronic ISSN 1748-5827
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 58
Issue 9
Pages 485-494
DOI https://doi.org/10.1111/jsap.12712
Public URL https://rvc-repository.worktribe.com/output/1390657

Files





You might also like



Downloadable Citations