Postsurgical gastroparesis

Fletcher, Reid; Swanström, Lee L.

doi:10.1016/b978-0-12-818586-5.00019-3

Cited by 3 publications

(3 citation statements)

References 54 publications

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“…[12][13][14] In humans, gastroparesis can also occur with vagal nerve damage during surgery. 15 In the dog in this report, gastroparesis was likely multifactorial, including gastrointestinal ulceration, opioid administration, peritoneal inflammation, visceral hypoperfusion, and thick gastric content. Caudal displacement of the stomach could also have damaged vagal nerves or decreased myoelectric activity.…”

Section: Discussionmentioning

confidence: 75%

“…In dogs, etiologies of gastric dysmotility can be primary, such as ulcerative, infectious, inflammatory, obstructive, or neoplastic gastrointestinal conditions or abnormal myoelectrical activity, or secondary, such as stress, hypoperfusion, electrolyte abnormalities, metabolic disease, drugs, obesity, or sepsis 12–14 . In humans, gastroparesis can also occur with vagal nerve damage during surgery 15 . In the dog in this report, gastroparesis was likely multifactorial, including gastrointestinal ulceration, opioid administration, peritoneal inflammation, visceral hypoperfusion, and thick gastric content.…”

Section: Discussionmentioning

confidence: 99%

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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: 75%

Section: Discussionmentioning

confidence: 99%

Epiploic foramen entrapment in a dog

Kerby,

Tobias,

Monto

et al. 2023

Veterinary Surgery

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“…The diagnosis can be easily demonstrated on CT, by showing a marked gastric dilatation in the absence of mechanical obstruction or gastric masse (Fig. 16) [29].…”

Section: N Gastroparesismentioning

confidence: 99%

Surgery for lung cancer: postoperative changes and complications—what the Radiologist needs to know

et al. 2021

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Imaging findings after thoracic surgery can be misleading. Knowledge of the normal post-operative anatomy helps the radiologist to recognise life-threatening complications and conversely not to wrongly evoke a complication in cases of trivial post-operative abnormalities. In this educational article, we reviewed the expected patterns after thoracic surgery including sublobar resection, lobectomy, pneumonectomy and related techniques. Imaging aspects of frequent and less common complications and their typical imaging features are then presented.

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