Canis ISSN: 2398-2942

Pyloroplasty

Synonym(s): Conventional (Heineke-Mikulicz, Y-U

Contributor(s): Andrew Gardiner, Geraldine Hunt, Kyle Mathews

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.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good.

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.


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