Comparison of diet, lactulose, and metronidazole combinations in the control of pre-surgical clinical signs in dogs with congenital extrahepatic portosystemic shunts.
Gonçalo SerranoNausikaa DevriendtHilde de RoosterDominique PaepePublished in: Journal of veterinary internal medicine (2022)
Combined HSD + lactulose seems sufficient for pre-surgical cEHPSS stabilization unlike sole HSD or HSD + metronidazole. Medical treatment of cEHPSS clinical signs decreases FA.