canis - Articles
Pyloroplasty
Synonym(s): Conventional (Heineke-Mikulicz, Y-U
Introduction
- See pyloromyotomy Pyloromyotomy for all details except technique.
Uses
- Congenital pyloric stenosis.
- Chronic hypertrophic pyloric gastropathy (CHPG) (some say Bilroth 1 better in these cases).
- Removal of some pyloric polyps (Y-U).
Advantages
- Allows full thickness pyloric biopsy to be taken.
- Allows excision of hypertrophied mucosa.
Disadvantages
- Increased risk of contamination.
- Heineke-Mikulicz may distort pyloric anatomy if significant thickening is present.
- More extensive procedure than pyloromyotomy.
Alternative techniques
- Pyloric resection (Bilroth I).
- Pyloromyotomy Pyloromyotomy.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Bright R M, Richardson D C, Stanton M E (1988) Y U antral flap advancement pyloroplasty in dogs. Comp Cont Ed Pract Vet 10 (2), 139-144 VetMedResource.
- Papageorges M, Breton L & Bonneau N H (1987) Gastric drainage procedures - effects in normal dogs. Vet Surg 16 (5), 327-345 PubMed.
- Stanton M E, Bright R M, Toal R et al (1987) Effects of the Y-U pyloroplasty on gastric emptying and duodenogastric reflux in the dog. Vet Surg 16 (5), 392-397 PubMed.
- Fox S M & Burns J (1986) The effect of pyloric surgery on gastric emptying in the dog - comparison of three techniques. JAAHA 22 (6), 783-788 VetMedResource.
- Walter M C, Matthieson D T & Stone E A (1985) Pylorectomy and gastroduodenostomy in the dog - technique and clinical results in 28 cases. JAVMA 187 (9), 909-914 PubMed.