Peer-reviewed veterinary case report
Magnetic device improves bile duct surgery in dogs with jaundice
By Fan, Chao et al.·Published in Surgical endoscopy·2018·Department of Hepatobiliary Surgery, China·View original on PubMed →
PetCaseFinder translated the abstract of this peer-reviewed paper into plain English so pet owners can read it. We do not publish original research — every detail traces back to the citation above. How we work →
Original publication title: Advanced Roux-en-Y hepaticojejunostomy with magnetic compressive anastomats in obstructive jaundice dog models.
- Species:
- dog
Plain-English summary
A group of dogs with obstructive jaundice underwent a surgical procedure called Roux-en-Y hepaticojejunostomy (RYHJ) to help improve their liver function. Some dogs had the surgery done using a new method with magnetic compressive anastomats (MCAs), while others had the traditional hand-sewn technique. The dogs that received the MCA method had quicker surgery times and better recovery, with fewer complications and less narrowing of the surgical connection over time. Overall, using MCAs made the surgery safer and more efficient for these dogs.
People also search for: dog jaundice treatment · Roux-en-Y surgery for dogs · obstructive jaundice in dogs · liver surgery complications in dogs
Abstract
BACKGROUND: Although commonly used procedure, Roux-en-Y hepaticojejunostomy (RYHJ) remains to be complicated, time consuming, and has a relatively poor prognosis. We designed the magnetic compressive anastomats (MCAs) to perform RYHJ more efficiently and safely. MATERIALS AND METHODS: 36 dogs were divided into two groups randomly. After obstructive jaundice model construction, RYHJ was performed with MCAs in study group or by hand-sewn in control group. Both groups were followed for 1, 3, and 6 months after RYHJ. The liver function and postoperative complications were recorded throughout the follow-up. At the end of each time point, dogs were sent for magnetic resonance imaging (MRI) and sacrificed. Anastomotic samples were taken for anastomotic narrowing rate calculation, histological analyses, tensile strength testing, and hydroxyproline content testing. RESULTS: The anastomotic construction times were 44.20 ± 23.02 min in study group, compared of 60.53 ± 11.89 min in control group (p < 0.05). The liver function recovered gradually after RYHJ in both groups (p > 0.05). All anastomats were expelled out of the body in 8.81 ± 2.01 days. The gross incidence of morbidity and mortality was 33.3% (6/18) and 16.7% (3/18) in study group compared with 38.9% (7/18) and 22.2% (4/18) in control group (p > 0.05), and there is no single case of anastomotic-specific complications happened in study group. The narrowing rates of anastomosis were 14.6, 18.5, and 18.7% in study group compared with 35.4, 36.9, and 34% in control group at 1st, 3rd, and 6th month after RYHJ (p < 0.05). In study group, preciser alignment of tissue layers and milder inflammatory reaction contributed to the fast and better wound healing process. CONCLUSION: Perform RYHJ with MCAs is safer, more efficient than by hand-sewn method in obstructive jaundice dog models.
Find similar cases for your pet
PetCaseFinder finds other peer-reviewed reports of pets with the same symptoms, plus a plain-English summary of what was tried across them.
Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28779259/