Common Bile Duct Obstruction Palliated with Common Bile Duct Re-implantation (choledochoduodenostomy) in a Cat

Overview

Journal Can Vet J

Specialty Veterinary Medicine

Date 2019 Oct 11

PMID 31597994

Citations 2

Authors

Galina Hayes

Sacha Devereux

John P Loftus

Mason Jager

Gerald Duhamel

Tracy Stokol

Affiliations

Soon will be listed here.

Abstract

A cat was presented with complete biliary obstruction at the level of the distal common bile duct (CBD), with loss of normal architecture. The area was excised and submitted for histopathology. Concurrent cholecystitis and gall bladder necrosis necessitated cholecystectomy. The proximal CBD was preserved and re-implanted adjacent to the original duodenal papilla. The cat recovered and remained asymptomatic for 6 months. At clinical relapse a carcinoma of suspected biliary origin was confirmed, and the cat was euthanized. In situations in which the CBD lumen cannot be re-established, the pathology is limited to the distal CBD, and the gall bladder is not available for cholecystoenterostomy, CBD re-implantation may be an option to salvage and retain a functional biliary tree.

Citing Articles

Choledochoduodenostomy combined with Billroth II procedure for extrahepatic biliary obstruction and duodenal perforation in a cat.

Tomura S, Iwata T, Sugimoto T, Nakashima K, Kojima K, Uchida K JFMS Open Rep. 2024; 10(1):20551169241246415.

PMID: 38766407 PMC: 11100399. DOI: 10.1177/20551169241246415.

Surgical Management Of Feline Biliary Tract Disease: Decision-making and techniques.

Low D, Williams J J Feline Med Surg. 2023; 25(11):1098612X231206846.

PMID: 37933545 PMC: 10812002. DOI: 10.1177/1098612X231206846.

References

Buote N, Mitchell S, Penninck D, Freeman L, Webster C . Cholecystoenterostomy for treatment of extrahepatic biliary tract obstruction in cats: 22 cases (1994-2003). J Am Vet Med Assoc. 2006; 228(9):1376-82. DOI: 10.2460/javma.228.9.1376. View

Baker S, Mayhew P, Mehler S . Choledochotomy and primary repair of extrahepatic biliary duct rupture in seven dogs and two cats. J Small Anim Pract. 2010; 52(1):32-7. DOI: 10.1111/j.1748-5827.2010.01014.x. View

Mangiavillano B, Khashab M, Eusebi L, Tarantino I, Bianchetti M, Semeraro R . Single brand, fully-covered, self-expandable metal stent for the treatment of benign biliary disease: when should stents be removed?. Minerva Gastroenterol Dietol. 2018; 65(1):63-69. DOI: 10.23736/S1121-421X.18.02506-0. View

Sarfeh I, Rypins E, Jakowatz J, JULER G . A prospective, randomized clinical investigation of cholecystoenterostomy and choledochoenterostomy. Am J Surg. 1988; 155(3):411-4. DOI: 10.1016/s0002-9610(88)80102-8. View

Hirai I, Ishiyama S, Fuse A, Kuzu H, Sakurai F, Kimura S . Primary sclerosing cholangitis successfully treated by resection of the confluence of the hepatic duct. J Hepatobiliary Pancreat Surg. 2001; 8(2):169-73. DOI: 10.1007/s005340170042. View

Tocchi A, Mazzoni G, Liotta G, Lepre L, Cassini D, Miccini M . Late development of bile duct cancer in patients who had biliary-enteric drainage for benign disease: a follow-up study of more than 1,000 patients. Ann Surg. 2001; 234(2):210-4. PMC: 1422008. DOI: 10.1097/00000658-200108000-00011. View

Gregory C, Lirtzman R, Kochin E, Rooks R, Kobayashi D, Seshadri R . A mucosal apposition technique for ureteroneocystostomy after renal transplantation in cats. Vet Surg. 1996; 25(1):13-7. DOI: 10.1111/j.1532-950x.1996.tb01372.x. View

Aadam A, Evans D, Khan A, Oh Y, Dua K . Efficacy and safety of self-expandable metal stents for biliary decompression in patients receiving neoadjuvant therapy for pancreatic cancer: a prospective study. Gastrointest Endosc. 2012; 76(1):67-75. DOI: 10.1016/j.gie.2012.02.041. View

Rappaport M, Villalba M . A comparison of cholecysto- and choledochoenterostomy for obstructing pancreatic cancer. Am Surg. 1990; 56(7):433-5. View

10.

Mayhew P, Richardson R, Mehler S, Holt D, Weisse C . Choledochal tube stenting for decompression of the extrahepatic portion of the biliary tract in dogs: 13 cases (2002-2005). J Am Vet Med Assoc. 2006; 228(8):1209-14. DOI: 10.2460/javma.228.8.1209. View

11.

Tsunoda T, Kusano T, Furukawa M, Eto T, Tsuchiya R . Common bile duct exploration--primary closure of the duct with retrograde transhepatic biliary drainage. Jpn J Surg. 1991; 21(2):162-6. DOI: 10.1007/BF02470903. View

12.

Jesudian A, Jacobson I . Screening and diagnosis of cholangiocarcinoma in patients with primary sclerosing cholangitis. Rev Gastroenterol Disord. 2009; 9(2):E41-7. View

13.

Lehner C, McAnulty J . Management of extrahepatic biliary obstruction: a role for temporary percutaneous biliary drainage. Compend Contin Educ Vet. 2010; 32(9):E1. View

14.

Mayhew P, Holt D, McLear R, Washabau R . Pathogenesis and outcome of extrahepatic biliary obstruction in cats. J Small Anim Pract. 2002; 43(6):247-53. PMC: 7167133. DOI: 10.1111/j.1748-5827.2002.tb00067.x. View