Wednesday, June 20, 2007

Arlo - Diagnosis: Liver Shunt

Arlo in May 2007 after his liver biopsy

In late January of this year, we discovered Arlo had elevated liver enzymes. He was treated with antibiotics, a liver antioxidant medication, and retested. The liver enzymes were lower, but still elevated. It was decided that his liver may be healing, and we retested him again. The enzymes were back up. Two weeks later, they were even higher. Not wanting to fool around, we were directed to a specialist for a liver biopsy: the only way to diagnose a liver problem.

At the specialist's, it was suggested he may have a shunt. A liver biopsy confirmed this suspicion in May. I have never heard of liver shunts in the GSD before, and none of the vets I work with in regular practice were suspecting a shunt. None of my shepherd friends nor the long term breeders I know have heard of this in the GSD before. Astonishing.

Arlo will have surgery at the specialist's on June 26th to determine if his shunt(s) is repairable or not. Most large breed dogs have shunts that are not repairable. The odds aren't good. Many dogs are managed medically with liver shunts, some with normal lifespans. However, if his is the repairable kind, his liver can actually regrow, and he can be a normal dog. His liver is only about 1/3 the size it should be for a dog of his size.

You would never know this dog has liver disease, as he is healthy and active and in good shape. My suspicion is that liver shunts are more common in the GSD than we know, yet many dogs are just never diagnosed.

The good news is that Arlo is in the hands of a specialist who sees more GSDs than any other in Ontario. Very comforting.

I only hope this surgery doesn't leave him in worse condition than he is in right now.

For more information on Liver Shunts, please see this site: What are Portosystemic Shunts?

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