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Intermittent gastric dilatation after gastropexy in a dog
P B Jennings1, W S Mathey, W J Ehler
1Department of Defense Military Working Dog Agency, Lackland Air Force Base, TX 78236-5300.
Journal of the American Veterinary Medical Association
|June 11, 1992
Summary
Gastroperitoneal adhesions after tube gastrostomy caused gastric outflow obstruction in a dog. Surgical dissection of adhesions relieved the obstruction, restoring normal digesta flow.
Area of Science:
- Veterinary Surgery
- Gastroenterology
Background:
- Tube gastrostomy is a procedure used to treat gastric dilatation/volvulus.
- Gastropexy is often performed concurrently to prevent recurrence.
Observation:
- A 3-year-old dog developed gastroperitoneal adhesions following tube gastrostomy.
- These adhesions led to an inverted L configuration of the pyloric antrum and duodenum.
- The adhesions caused periodic gastric dilatation due to gastric outflow obstruction.
Findings:
- Adhesions broke down 27 months post-procedure, requiring a second gastropexy.
- Post-second procedure, adhesions constricted gastric outflow, trapping gas.
- Surgical dissection of adhesions straightened the pyloric antrum-duodenum angle, facilitating digesta flow.
Implications:
- This case highlights a rare but severe complication of gastropexy.
- Surgical intervention can successfully alleviate gastric outflow obstruction caused by adhesions.
- Understanding adhesion formation is crucial for optimizing surgical outcomes in veterinary medicine.