Treatment of pyloric stenosis in a cat via pylorectomy and gastroduodenostomy (Billroth I procedure)

Syrcle, Jason A.; Gambino, Jennifer M.; Kimberlin, William W.

doi:10.2460/javma.242.6.792

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…Pyloric stenosis has been rarely reported in cats. 2–6 Pearson et al 3 described pyloric stenosis in 13 cats with chronic vomiting. The contrast radiographs showed moderate gastric dilation and a delayed passage of the contrast medium.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of acquired pyloric stenosis via Y-U pyloroplasty in a Burmese cat

Preibisz

Slunsky

Schwedes

2022

Journal of Feline Medicine and Surgery Open Reports

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Case summary An 11-year-old female spayed Burmese cat was presented for chronic intermittent vomiting. Previous medical and dietary treatments were unsuccessful. Endoscopically, a narrow pyloric outlet was found and Y-U pyloroplasty was performed. The clinical signs disappeared postoperatively after treatment with a proton pump inhibitor and dietary management. Relevance and novel information This is the first case report of feline-acquired pyloric stenosis with documented histopathological findings from a full-thickness biopsy of the pyloric sphincter. In addition, this is the first case of Y-U pyloroplasty being conducted in a cat. The histopathological findings might help explain the pathogenesis of this disorder in cats.

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Section: Discussionmentioning

confidence: 99%

“…1 Pyloric stenosis has been infrequently described as a cause in cats, and can be a congenital or acquired disorder. [2][3][4][5][6]…”

Section: Introductionmentioning

confidence: 99%

Treatment of acquired pyloric stenosis via Y-U pyloroplasty in a Burmese cat

Preibisz

Slunsky

Schwedes

2022

Journal of Feline Medicine and Surgery Open Reports

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“…In feline medicine few information are available about stenotic processes localized in the stomach. In Siamese cats benign muscular pyloric hypertrophy has been detected and, because of the young ages of cats in the reported cases and apparent heritability of the condition, a congenital etiology has been assumed [5,6]. No information is yet available about acquired antral stenosis.…”

Section: Discussionmentioning

confidence: 99%

Post traumatic antral stenosis in a cat

Pelloni¹,

Signore

Aste

et al. 2019

Acta Veterinaria

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The goal of this study was to report the first case of antral stenosis in a cat. We have described a clinical case of a 9 months old domestic shorthaired cat referred for persistent and refractory vomiting, anorexia and loss of weight. Ultrasound (US) examination detected a mild gastric distension, mild wall thickening (5mm), severe serosal irregularities and a constriction between the fundus and body. Computed tomography (CT) was then performed: a severe gastric stenosis between the body and antrum with minimum contrast transit was detected and confirmed by flexible endoscopic examination. The antral localization of the stenosis was revealed after a cranial celiotomy and Y-U plastic was necessary to correct the defect. The patient completely recovered after surgery with significant body weight gain and remained in remission throughout a 2-years follow-up. While in human medicine there is evidence of acquired antral stenosis, no information is available about the same lesion in the feline species. To the best of our knowledge, this is the first case of antral stenosis in cats.

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“…The proximal duodenum is of major surgical significance, as the surgical removal of a lesion located there may necessitate a duodenectomy, pylorectomy, and cholecystoenterostomy to bypass the common bile duct that is transected during the procedure [ 69 ]. In addition, during Billroth I, care must be taken not to transect the common bile duct [ 61 , 66 ]. In 20% of cats, there is an accessory pancreatic duct at the minor duodenal papilla [ 70 ].…”

Section: Digestive Tractmentioning

confidence: 99%

“…The pylorus is not preferred for gastrotomy incisions due to the risk of stenosis [43]. When performing a Billroth I, which is rarely described in cats, it is important to take care not to ligate the bile duct [59][60][61]. The right gastric and right gastroepiploic vessels are ligated for this procedure [57].…”

Section: Stomachmentioning

confidence: 99%

Surgical Anatomy of the Gastrointestinal Tract in Cats

Angelou,

Fiska,

Tsingotjidou

et al. 2023

Animals

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In cats, the gastrointestinal tract is one of the regions in which surgical procedures are most frequently performed by veterinary surgeons; therefore, knowledge of the surgical anatomy of the feline gastrointestinal tract is of high importance. The main surgical procedures performed include gastrotomy, gastrectomy, enterotomy, and enterectomy, as well as procedures in the liver and pancreas. There are also anatomical differences between dogs and cats, increasing the need for deep knowledge of the anatomy treated in the different surgical approaches. The aim of the present review is to describe in detail the anatomy of the gastrointestinal tract in cats highlighting the anatomical regions of significant importance in different surgical procedures.

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Treatment of pyloric stenosis in a cat via pylorectomy and gastroduodenostomy (Billroth I procedure)

Cited by 6 publications

References 10 publications

Treatment of acquired pyloric stenosis via Y-U pyloroplasty in a Burmese cat

Treatment of acquired pyloric stenosis via Y-U pyloroplasty in a Burmese cat

Post traumatic antral stenosis in a cat

Surgical Anatomy of the Gastrointestinal Tract in Cats

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