Gastropexy with an automatic stapling instrument for the treatment of
gastric dilatation and volvulus in 20 dogs |
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| Authors: | Gerardo A Belandria Michael M Pavletic James P Boulay Dominique G Penninck Leslie A Schwarz |
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| Institution: | Department of Clinical Sciences, School of Veterinary Medicine, Tufts University, 200 Westboro Road, North Grafton, Massachusetts 01536, USA (Belandria, Pavletic, Penninck, Schwarz); Department of Surgery, Angell Animal Medical Center, 350 South Huntington Avenue, Boston, Massachusetts 02130, USA (Boulay) |
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| Abstract: | Surgical stapling equipment was used to create a gastropexy in 20 dogs undergoing
emergency surgery for gastric dilatation and volvulus (GDV). The technique
involved creation of a tunnel between the seromuscular layer and the submucosa
of the pyloric antrum, and a matching tunnel beneath the right m. transversus
abdominis. The arms of a gastrointestinal anastomosis stapling device were
introduced into the tunnels, and the device was fired to create the gastropexy.
One dog died of systemic sequelae of GDV during the early postoperative period.
None of the remaining 19 dogs developed a recurrence of GDV during follow-up
periods ranging from 5 to 43 months. In 11 dogs, the integrity of the gastropexy
was evaluated by abdominal ultrasonography and either negative contrast
gastrography or double contrast gastrography; in these dogs, the radiographic
and/or the ultrasonographic findings were suggestive of an intact gastropexy.
There were no complications involving the gastropexy staple line. The results of
this study indicate that an effective and consistent permanent gastropexy can be
created, using surgical stapling equipment. |
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