Chronic Gastric Dilation—Surgical Management

Duza, Guillermo; Palermo, Mariano; Serra, Edgardo; Davrieux, Carlos Federico

doi:10.1089/lap.2021.0524

Cited by 1 publication

(2 citation statements)

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“…14 Nasogastric and GTs have been used for gastric decompression in dogs, cats, and humans. 16,17 In the dog in this report, decompression with NGT was unsuccessful, and gastrotomy was performed to remove thick, semisolid contents. The GT was placed to keep the stomach decompressed after surgery and monitor GRV.…”

Section: Discussionmentioning

confidence: 85%

“…Treatment of gastric dysmotility includes prokinetic drugs, analgesia, fluid therapy, correction of electrolyte imbalances, early ambulation and enteral feeding, and tube decompression if medical management is ineffective 14 . Nasogastric and GTs have been used for gastric decompression in dogs, cats, and humans 16,17 . In the dog in this report, decompression with NGT was unsuccessful, and gastrotomy was performed to remove thick, semisolid contents.…”

Section: Discussionmentioning

confidence: 90%

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Epiploic foramen entrapment in a dog

Kerby,

Tobias,

Monto

et al. 2023

Veterinary Surgery

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ObjectiveTo report small intestinal herniation through the epiploic foramen in a dog.AnimalsNine‐year‐old male castrated Shih Tzu.Study designCase report.MethodsThe dog presented with an 8‐year history of vomiting and regurgitation and acute onset of melena, lethargy, anorexia, anemia, and suspected gastrointestinal mass or obstruction on prereferral imaging. Abnormalities on abdominal radiographs included a large, midcaudal soft tissue structure and cranial displacement and segmental dilation of the small intestine. On abdominal ultrasound, severe gastric dilation, jejunal tortuosity and stacking, and peritoneal effusion were observed. Epiploic herniation of the small intestine and segmental jejunal devitalization was diagnosed on exploratory laparotomy, and the dog underwent hernia reduction, jejunal resection and anastomosis, and nasogastric tube placement.ResultsSevere gastric distention and atony persisted 24 h after surgery, despite medical management. The dog was taken to surgery for decompressive gastrotomy and placement of gastrostomy and nasojejunostomy tubes for postoperative decompression and feeding, respectively. Three days after the original surgery, the dog developed a septic abdomen from anastomotic dehiscence and underwent jejunal resection and anastomosis and peritoneal drain placement. Gastric dysmotility gradually resolved with the administration of motility stimulants, removal of gastric residual volume, and nutritional support via nasojejunostomy tube feedings. Three months after discharge, the dog was clinically normal.ConclusionEpiploic foramen entrapment should be considered a type of herniation in dogs. Clinical suspicion should be raised in dogs with unresolving regurgitation and vomiting, visceral displacement, and stacking and distension of small intestine.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 90%