Surgical treatment of perforating duodenal ulcer in a dog by use of modified choledochoduodenostomy and gastrojejunostomy.

Beale, B S; Goring, R L; Schaer, M; Robertson, S A

Beale, B S; Goring, R L; Schaer, M; Robertson, S A.

Afiliación

Beale BS; Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville 32160.

J Am Vet Med Assoc ; 198(2): 281-5, 1991 Jan 15.

Article en En | MEDLINE | ID: mdl-2004991

RESUMEN

Modified choledochoduodenostomy and gastrojejunostomy were used successfully to treat extensive duodenal ulceration and perforation in a dog. Concomitant pyometra, simultaneously managed by ovariohysterectomy, may have predisposed the dog to stress ulceration. Choledochoduodenostomy was performed by transplantation of the entire common bile duct and associated major duodenal papilla to a more distal duodenal location. An indwelling choledochostomy tube was used to stent the anastomotic site, externally divert bile flow, and allow postoperative cholangiography. Early postoperative complications included presumed metronidazole-induced neurotoxicosis, choledochostomy tube obstruction, and pancreatitis, all of which resolved within 2 weeks. The dog was clinically normal and medication (ranitidine and sucralfate) was discontinued 35 months later.

Asunto(s)

Coledocostomía/veterinaria; Enfermedades de los Perros/cirugía; Úlcera Duodenal/veterinaria; Úlcera Péptica Perforada/veterinaria; Animales; Perros; Úlcera Duodenal/cirugía; Femenino; Gastrostomía/veterinaria; Yeyunostomía/veterinaria; Úlcera Péptica Perforada/cirugía

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Úlcera Péptica Perforada / Coledocostomía / Enfermedades de los Perros / Úlcera Duodenal Límite: Animals Idioma: En Revista: J Am Vet Med Assoc Año: 1991 Tipo del documento: Article Pais de publicación: Estados Unidos

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