Comparative evaluation of two reconstructive methods following laparoscopic assisted subtotal gastrectomy in dogs

BMC Research Notes

Amir Niasari-Naslaji¹  Farzad Asadi³  Alireza R Khalaj²  Mahbobeh Abdi¹  Jalal Bakhtiari⁴ 

[1] Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran;Department of Surgery, Faculty of Medicine, Shahed University, Tehran, Iran;Minimally Invasive Surgery Research Centre, Rasool Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran;Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Tehran, P. O. Box: 14155-6453, Tehran, Iran

关键词: Dog;    Reconstruction;    Laparoscopy;    Gastrectomy;   

Others  :  1165039
DOI  :  10.1186/1756-0500-5-679

 received in 2012-09-14, accepted in 2012-11-21,  发布年份 2012

【 摘 要 】

Background

Laparoscopic gastrectomy is a new and technically challenging surgical procedure with potential benefit. The objective of this study was to investigate clinical and para-clinical consequences following Roux-en-Y and Jejunal Loop interposition reconstructive techniques for subtotal gastrectomy using laparoscopic assisted surgery.

Results

Following resection of the stomach attachments through a laparoscopic approach, stomach was removed and reconstruction was performed with either standard Roux-en-Y (n = 5) or Jejunal Loop interposition (n = 5) methods. Weight changes were monitored on a daily basis and blood samples were collected on Days 0, 7 and 21 post surgery. A fecal sample was collected on Day 28 after surgery to evaluate fat content. One month post surgery, positive contrast radiography was conducted at 5, 10, 20, 40, 60 and 90 minutes after oral administration of barium sulfate, to evaluate the postoperative complications. There was a gradual decline in body weight in both experimental groups after surgery (P < 0.05). There was no difference in blood parameters at any time after surgery between the two methods (P > 0.05). Fecal fat content increased in the Roux-en-Y compared to the Jejunal loop interposition technique (P < 0.05). No major complications were found in radiographs and gastric emptying time was similar between the two groups (P > 0.05).

Conclusion

Roux-en-Y and Jejunal loop interposition techniques might be considered as suitable approaches for reconstructing gastro-intestinal tract following gastrectomy in dogs. The results of this study warrant further investigation with a larger number of animals.

【 授权许可】

   
2012 Bakhtiari et al.; licensee BioMed Central Ltd.

【 图 表 】

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