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Updated: Oct 11, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Descriptive study of a method for identification of the pylorus by ultrasound in lactating Holstein cows
Clément Maincent1, Marie Babkine1, Hélène Lardé1
1Clinique vétérinaire du Cèdre, 130 Allée Charles Nicolle, 27310 Bourg Achard, France (Maincent); Department of Clinical Sciences, Faculté de médecine vétérinaire, Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M2 (Babkine, Lardé, Nichols); Department of Clinical Sciences, Ross University School of Veterinary Medicine, P.O. Box 334, Basseterre, St. Kitts, West Indies (Lardé).
Abstract:
The purpose of this study was to develop a method for identification of the pylorus, in lactating Holstein cows, based on ultrasound examination and the use of external anatomical landmarks such as the mammary vein (anulus venae subcutaneae abdominis). An ultrasound method based on successive identification of 4 internal anatomical landmarks was developed. The procedure was performed 157 times, on clinically healthy lactating Holstein cows, with a portable ultrasound machine equipped with a 3.5 MHz curvilinear probe. The pylorus was identified with a success rate of 98.7% (155 times out of 157 procedures). The average position of the pylorus was noted near the entrance of the right mammary vein, with a craniocaudal and dorsoventral dispersion. This ultrasound method of identifying the pylorus is simple, effective, and rapid.
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