Peer-reviewed veterinary case report
Dog with perforated duodenal ulcer treated by bile duct surgery
By Beale, B S et al.Ā·Published in Journal of the American Veterinary Medical AssociationĀ·1991Ā·Department of Small Animal Clinical Sciences, United StatesĀ·View original on PubMed ā
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Original publication title: Surgical treatment of perforating duodenal ulcer in a dog by use of modified choledochoduodenostomy and gastrojejunostomy.
- Species:
- dog
Plain-English summary
A 5-year-old female dog with severe stomach issues was treated for a perforated duodenal ulcer, which is a serious condition where a hole forms in the intestine. The surgery involved creating new connections for bile flow and the digestive tract to help heal the ulcer. After the surgery, the dog faced some complications, including a reaction to medication and a blockage, but these were resolved within two weeks. Remarkably, 35 months later, the dog was back to normal and no longer needed any medication.
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Abstract
Modified choledochoduodenostomy and gastrojejunostomy were used successfully to treat extensive duodenal ulceration and perforation in a dog. Concomitant pyometra, simultaneously managed by ovariohysterectomy, may have predisposed the dog to stress ulceration. Choledochoduodenostomy was performed by transplantation of the entire common bile duct and associated major duodenal papilla to a more distal duodenal location. An indwelling choledochostomy tube was used to stent the anastomotic site, externally divert bile flow, and allow postoperative cholangiography. Early postoperative complications included presumed metronidazole-induced neurotoxicosis, choledochostomy tube obstruction, and pancreatitis, all of which resolved within 2 weeks. The dog was clinically normal and medication (ranitidine and sucralfate) was discontinued 35 months later.
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Search related cases āOriginal publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/2004991/