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I have been in contact with Dr. Couto regarding Miriam's liver values. Her ALT value has gone down but there are other numbers that he is concerned about. He suggests that she have a liver biopsy.

 

I am guessing someone on the forum has gone through this with their pup. The main question is whether to do it with a laparoscope or surgically. How do you choose the method?

 

Thanks.

Annette, mom to Banjo (AJN Spider Man) & Casey (kitty), wife to Roy. Mom to bridgekids: Wheat (GH), Icabod (GH), Scarlett (Cab's Peg Bundy), Rhett (Kiowa Day Juice), Dixie (Pazzo Dixie), Pogo/Gleason (Rambunctious), and Miriam (Miriam of Ruckus) and Spooky, Taffy, Garfield, & Lefty (kitties)

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no advice but sending many, many hugs for your sweet girl and you both :grouphug:hope

Kim and Bruce - with Rick (Rick Roufus 6/30/16) and missing my sweet greyhound Angels Rainey (LG's Rainey 10/4/2000 - 3/8/2011), Anubis (RJ's Saint Nick 12/25/2001 - 9/12/12) and Zeke (Hey Who Whiz It 4/6/2009 - 7/20/2020) and Larry (PTL Laroach 2/24/2007 - 8/2/2020) -- and Chester (Lab) (8/31/1990 - 5/3/2005), Captain (Schipperke) (10/12/1992 - 6/13/2005) and Remy (GSP) (?/?/1998 - 1/6/2005) at the bridge
"Always do sober what you said you'd do drunk. That will teach you to keep your mouth shut." -- Ernest Hemmingway

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I don't have any experience with the liver specifically, but for Zuri's enlarged spleen they did multiple FNAs guided by ultrasound when he was sedated for his CT scan. I would assume less invasive is always better. Not sure why you'd want to do it surgically if you can get a good sample just sticking the needle in? Have you had a chance to talk to your vet about it?

 

Either way, hoping for positive results. :goodluck

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Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart

"The great thing about science is that you're free to disagree with it, but you'll be wrong."

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I had one done on Cat #1, he had cholangeohepatitis (sp?) as a young cat and his liver values were elevated years later. It wasn't really bad, he recovered quickly. I can get some more details when I get home.

Current Crew: Gino-Gene-Eugene! (Eastnor Rebel: Makeshift x Celtic Dream); Fuzzy the Goo-Goo Girl (BGR Fuzzy Navel: Boc's Blast Off x Superior Peace); Roman the Giant Galoot! (Imark Roman: Crossfire Clyde x Shana Wookie); Kitties Archie and Dixie

Forever Missed: K9 Sasha (2001-2015); Johnny (John Reese--Gable Dodge x O'Jays) (2011-19); the kitties Terry and Bibbi; and all the others I've had the privilege to know

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I've assisted with a few laparoscopic liver biopsies. Two small incisions, heals up much more quickly. I'd certainly chose laparoscopic vs. surgical.

Deanna with galgo Willow, greyhound Finn, and DH Brian
Remembering Marcus (11/16/93 - 11/16/05), Tyler (2/3/01 - 11/6/06), Frazzle (7/2/94 - 7/23/07), Carrie (5/8/96 - 2/24/09), Blitz (3/28/97 - 6/10/11), Symbra (12/30/02 - 7/16/13), Scarlett (10/10/02 - 08/31/13), Wren (5/25/01 - 5/19/14),  Rooster (3/7/07 - 8/28/18), Q (2008 - 8/31/19), and Momma Mia (2002 - 12/9/19).

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