Case Report

Gastrojejunostomy without partial gastrectomy to manage duodenal stenosis in a dog

Johannes J. Nel, Cornelius J. du Plessis, Gert L. Coetzee
Journal of the South African Veterinary Association | Vol 86, No 1 | a1285 | DOI: https://doi.org/10.4102/jsava.v86i1.1285 | © 2015 Johannes J. Nel, Cornelius J. du Plessis, Gert L. Coetzee | This work is licensed under CC Attribution 4.0
Submitted: 16 February 2015 | Published: 09 December 2015

About the author(s)

Johannes J. Nel, Department of Companion Animal Clinical Studies, University of Pretoria, South Africa
Cornelius J. du Plessis, Fourways Veterinary Hospital, Bryanston, South Africa
Gert L. Coetzee, Department of Companion Animal Clinical Studies, University of Pretoria, South Africa


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Abstract

A nine-year-old female Rottweiler with a history of repeated gastrointestinal ulcerations and three previous surgical interventions related to gastrointestinal ulceration presented with symptoms of anorexia and intermittent vomiting. Benign gastric outflow obstruction was diagnosed in the proximal duodenal area. The initial surgical plan was to perform a pylorectomy with gastroduodenostomy (Billroth I procedure), but owing to substantial scar tissue and adhesions in the area a palliative gastrojejunostomy was performed. This procedure provided a bypass for the gastric contents into the proximal jejunum via the new stoma, yet still allowed bile and pancreatic secretions to flow normally via the patent duodenum. The gastrojejunostomy technique was successful in the surgical management of this case, which involved proximal duodenal stricture in the absence of neoplasia. Regular telephonic followup over the next 12 months confirmed that the patient was doing well.

Keywords

Canine; gastrojejunostomy; duodenal stenosis

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