Kms. Tobias et Te. Besser, EVALUATION OF LEUKOCYTOSIS, BACTEREMIA, AND PORTAL-VEIN PARTIAL OXYGEN-TENSION IN CLINICALLY NORMAL DOGS AND DOGS WITH PORTOSYSTEMIC SHUNTS, Journal of the American Veterinary Medical Association, 211(6), 1997, pp. 715
Objective - To assess the relationship of WBC counts and partial oxyge
n tension in the portal vein and caudal vena cava with portal bacterem
ia, bacteria in the liver, and postoperative morbidity and mortality i
n dogs with portosystemic shunts. Design - Prospective study. Animals
- 12 clinically normal dogs and 15 dogs with single congenital portosy
stemic shunts. Procedure - Blood was collected from the portal vein an
d caudal vena cava for aerobic and anaerobic bacterial culture, WBC co
unt, and measurement of partial oxygen tension. Samples of liver tissu
e, indwelling catheters, and fluids administered IV were also obtained
for bacterial culture. Results - Bacteria were cultured from samples
obtained from the portal vein and caudal vena cava of 1 dog with a shu
nt and from the caudal vena cava of 1 clinically normal dog; neither d
og had postoperative complications. In dogs with shunts and in clinica
lly normal dogs, partial oxygen tension in the portal Vein was signifi
cantly greater than that in the caudal vena cava. Postoperative compli
cations were identified in 33% of dogs with shunts. Partial oxygen ten
sions of dogs with shunts with postoperative complications did not sig
nificantly differ from those of all dogs with shunts or dogs with shun
ts without complications. Significant differences in WBC counts were n
ot found when comparing dogs with shunts with and without complication
s. Anaerobic bacteria were not cultured from the liver of any dog. Cli
nical Implications - Leukocytosis, portal bacteremia, and portal hypox
emia were not notable findings in dogs with shunts and were not correl
ated with postoperative morbidity or mortality.