{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:15:09Z","timestamp":1793330109567,"version":"4.5.0"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":764,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T00:00:00Z","timestamp":1698969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Information is limited regarding the prevalence and importance of hepatic histologic abnormalities in dogs with gallbladder mucocele (GBM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To (a) report prevalence of hepatic histologic abnormalities in dogs with GBM (b) evaluate for association between hepatic abnormalities and outcome in dogs with GBM (c) evaluate whether neutrophil-to-lymphocyte ratio (NLR) differs in dogs with GBM with and without specific hepatic lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Fifty-two dogs with grossly and histologically confirmed GBM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Multicenter, retrospective study of dogs with GBM undergoing cholecystectomy with concurrent liver biopsy. Archived histological sections of gallbladder and liver evaluated by investigators blinded to data. Proportions of dogs with each histologic abnormality alive vs deceased at 1, 3, and 12\u2009months post-cholecystectomy compared. Mann-Whitney U performed to determine if NLR differed in dogs with or without selected lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>51\/52 (98%, 95% CI [89%, 99%]) dogs with GBM had at least 1 hepatic histologic abnormality. Hepatic fibrosis (37\/51; 73%, 95% CI [59%, 83%]), biliary hyperplasia (29\/52; 56%, 95% CI [42%, 68%]), and portal inflammation (25\/52; 48%, 95% CI [35%, 61%]) were most common. The proportion of dogs alive vs dead differed based on the fibrosis score at 1, 3, and 12 (P\u2009\u2264\u2009.04) months post-cholecystectomy. Dogs with hepatic necrosis (P\u2009=\u2009.006) and cholangitis\/cholangiohepatitis (P\u2009=\u2009.02) had higher NLRs compared to dogs without these lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Clinical Importance<\/jats:title>\n                    <jats:p>Histologic abnormalities of the liver are common in dogs with GBM. A higher portal fibrosis score might be associated with shortened long-term survival after cholecystectomy for dogs with GBM. An increase in NLR might predict hepatic necrosis and cholangitis\/cholangiohepatitis in dogs with GBM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jvim.16922","type":"journal-article","created":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T10:06:25Z","timestamp":1699005985000},"page":"176-186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Concurrent hepatopathy in dogs with gallbladder mucocele: Prevalence, predictors, and impact on long-term outcome"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6486-3644","authenticated-orcid":false,"given":"Sara A.","family":"Jablonski","sequence":"first","affiliation":[{"name":"College of Veterinary Medicine, Michigan State University Department of Small Animal Clinical Sciences, , East Lansing, Michigan,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9492-687X","authenticated-orcid":false,"given":"Yue Xiang (Polly)","family":"Chen","sequence":"additional","affiliation":[{"name":"Ozark Veterinary Specialty Care, 881 Animal Emergency Dr , Springdale, Arkansas,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarod E.","family":"Williams","sequence":"additional","affiliation":[{"name":"Ozark Veterinary Specialty Care, 881 Animal Emergency Dr , Springdale, Arkansas,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica A.","family":"Kendziorski","sequence":"additional","affiliation":[{"name":"College of Veterinary Medicine, Michigan State University Department of Pathobiology and Diagnostic Investigation, , East Lansing, Michigan,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca C.","family":"Smedley","sequence":"additional","affiliation":[{"name":"Veterinary Diagnostic Laboratory, College of Veterinary Medicine, Michigan State University , East Lansing, Michigan,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,1]]},"reference":[{"issue":"1","key":"2026020304060857700_jvim16922-bib-0001","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.cvsm.2009.01.004","article-title":"Diseases of the gallbladder and biliary tree","volume":"39","author":"Center","year":"2009","journal-title":"Vet Clin North Am Small Anim Pract"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0002","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1111\/jvim.15249","article-title":"Gall bladder mucoceles in Border terriers","volume":"32","author":"Allerton","year":"2018","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0003","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1111\/jsap.13468","article-title":"Canine extrahepatic biliary disease","volume":"63","author":"Jaffey","year":"2022","journal-title":"J Small Anim Pract"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0004","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.4102\/jsava.v86i1.1318","article-title":"Gallbladder mucocoele: a review","volume":"86","author":"Smalle","year":"2015","journal-title":"J S Afr Vet Assoc"},{"key":"2026020304060857700_jvim16922-bib-0005","first-page":"258","article-title":"Jubb, Kennedy & Palmer's Pathology of Domestic Animals","author":"Cullen","year":"2016"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0006","doi-asserted-by":"crossref","first-page":"79","DOI":"10.2460\/javma.231.1.79","article-title":"Gallbladder disease in Shetland Sheepdogs: 38 cases (1995-2005)","volume":"231","author":"Aguirre","year":"2007","journal-title":"J Am Vet Med Assoc"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0007","doi-asserted-by":"crossref","first-page":"359","DOI":"10.2460\/javma.234.3.359","article-title":"Clinical, ultrasonographic, and laboratory findings associated with gallbladder disease and rupture in dogs: 45 cases (1997-2007)","volume":"234","author":"Crews","year":"2009","journal-title":"J Am Vet Med Assoc"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0008","first-page":"63","article-title":"Factors affecting survival in 516 dogs that underwent cholecystectomy for the treatment of gallbladder mucocele","volume":"63","author":"Galley","year":"2022","journal-title":"Can Vet J"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0009","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/jvim.14898","article-title":"Gallbladder mucocele: variables associated with outcome and the utility of ultrasonography to identify gallbladder rupture in 219 dogs (2007-2016)","volume":"32","author":"Jaffey","year":"2018","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0010","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/vec.12910","article-title":"Prevalence and impact of cholecystitis on outcome in dogs with gallbladder mucocele","volume":"30","author":"Rogers","year":"2020","journal-title":"J Vet Emerg Crit Care (San Antonio)"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0011","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1111\/j.1532-950X.2012.01072.x","article-title":"Clinical findings and prognostic factors for dogs undergoing cholecystectomy for gall bladder mucocele","volume":"42","author":"Malek","year":"2013","journal-title":"Vet Surg"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0012","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.2460\/javma.2004.224.1615","article-title":"Gallbladder mucocele in dogs: 30 cases (2000-2002)","volume":"224","author":"Pike","year":"2004","journal-title":"J Am Vet Med Assoc"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0013","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1111\/jvim.16203","article-title":"Evaluation of coagulation parameters in dogs with gallbladder mucoceles","volume":"35","author":"Pavlick","year":"2021","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0014","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1111\/j.1532-950X.2004.04087.x","article-title":"Variables associated with outcome in dogs undergoing extrahepatic biliary surgery: 60 cases (1988-2002)","volume":"33","author":"Mehler","year":"2004","journal-title":"Vet Surg"},{"key":"2026020304060857700_jvim16922-bib-0015","doi-asserted-by":"crossref","DOI":"10.1016\/j.tvjl.2019.105350","article-title":"Effect of clinical signs, endocrinopathies, timing of surgery, hyperlipidemia, and hyperbilirubinemia on outcome in dogs with gallbladder mucocele","volume":"251","author":"Jaffey","year":"2019","journal-title":"Vet J"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0016","doi-asserted-by":"crossref","first-page":"2057","DOI":"10.1111\/jvim.15611","article-title":"Long-term survival of dogs treated for gallbladder mucocele by cholecystectomy, medical management, or both","volume":"33","author":"Parkanzky","year":"2019","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0017","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1177\/1040638721992057","article-title":"Blood neutrophil-to-lymphocyte ratio (NLR) as a diagnostic marker in dogs with chronic enteropathy","volume":"33","author":"Becher","year":"2021","journal-title":"J Vet Diagn Invest"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0018","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1111\/vec.13067","article-title":"Retrospective investigation of the neutrophil-to-lymphocyte ratio in dogs with pneumonia: 49 cases (2011-2016)","volume":"31","author":"Conway","year":"2021","journal-title":"J Vet Emerg Crit Care (San Antonio)"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0019","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1111\/vec.13269","article-title":"Evaluation of the neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios in critically ill dogs","volume":"33","author":"Dourmashkin","year":"2023","journal-title":"J Vet Emerg Crit Care (San Antonio)"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0020","doi-asserted-by":"crossref","first-page":"351","DOI":"10.5326\/JAAHA-MS-6808","article-title":"Utility and prognostic significance of neutrophil-to-lymphocyte ratio in dogs with septic peritonitis","volume":"54","author":"Hodgson","year":"2018","journal-title":"J Am Anim Hosp Assoc"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0021","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/vcp.12979","article-title":"Neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios in dogs and cats with acute pancreatitis","volume":"50","author":"Neumann","year":"2021","journal-title":"Vet Clin Pathol"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0022","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1111\/jvim.16512","article-title":"Evaluation of the blood neutrophil-to-lymphocyte ratio as a biomarker for meningoencephalitis of unknown etiology in dogs","volume":"36","author":"Park","year":"2022","journal-title":"J Vet Intern Med"},{"key":"2026020304060857700_jvim16922-bib-0023","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.rvsc.2019.08.028","article-title":"Neutrophil-to-lymphocyte ratio, nucleated red blood cells and erythrocyte abnormalities in canine systemic inflammatory response syndrome","volume":"126","author":"Pierini","year":"2019","journal-title":"Res Vet Sci"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0024","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.cvsm.2009.02.003","article-title":"Summary of the World Small Animal Veterinary Association standardization committee guide to classification of liver disease in dogs and cats","volume":"39","author":"Cullen","year":"2009","journal-title":"Vet Clin North Am Small Anim Pract"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0025","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1002\/hep.510240201","article-title":"An algorithm for the grading of activity in chronic hepatitis C. The METAVIR Cooperative Study Group","volume":"24","author":"Bedossa","year":"1996","journal-title":"Hepatology"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0026","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1111\/jvim.15064","article-title":"Evaluation of potential serum biomarkers of hepatic fibrosis and necroinflammatory activity in dogs with liver disease","volume":"32","author":"Raghu","year":"2018","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0027","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.2460\/ajvr.74.12.1474","article-title":"Digital image analysis of rhodanine-stained liver biopsy specimens for calculation of hepatic copper concentrations in dogs","volume":"74","author":"Center","year":"2013","journal-title":"Am J Vet Res"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0028","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1111\/j.1740-8261.2000.tb01489.x","article-title":"Ultrasonographic appearance and clinical findings in 14 dogs with gallbladder mucocele","volume":"41","author":"Besso","year":"2000","journal-title":"Vet Radiol Ultrasound"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0029","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1111\/jvim.14891","article-title":"Hepatic fibrosis in dogs","volume":"32","author":"Eulenberg","year":"2018","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0030","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/jvim.14866","article-title":"Cholangitis and cholangiohepatitis in dogs: a descriptive study of 54 cases based on histopathologic diagnosis (2004-2014)","volume":"32","author":"Harrison","year":"2018","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0031","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1111\/jvim.15467","article-title":"ACVIM consensus statement on the diagnosis and treatment of chronic hepatitis in dogs","volume":"33","author":"Webster","year":"2019","journal-title":"J Vet Intern Med"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0032","doi-asserted-by":"crossref","first-page":"970","DOI":"10.2460\/javma.252.8.970","article-title":"Outcome of elective cholecystectomy for the treatment of gallbladder disease in dogs","volume":"252","author":"Youn","year":"2018","journal-title":"J Am Vet Med Assoc"},{"issue":"1","key":"2026020304060857700_jvim16922-bib-0033","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1111\/jvim.14684","article-title":"Interobserver agreement using histological scoring of the canine liver","volume":"31","author":"Lidbury","year":"2017","journal-title":"J Vet Intern Med"}],"container-title":["Journal of Veterinary Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jvim\/article-pdf\/38\/1\/176\/66663011\/jvim16922.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jvim\/article-pdf\/38\/1\/176\/66663011\/jvim16922.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T09:06:17Z","timestamp":1770109577000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jvim\/article\/38\/1\/176\/8448646"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,1]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1,1]]}},"URL":"https:\/\/doi.org\/10.1111\/jvim.16922","relation":{},"ISSN":["1939-1676"],"issn-type":[{"value":"1939-1676","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1]]},"published":{"date-parts":[[2024,1,1]]},"assertion":[{"value":"2023-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}