Duodenoduodenostomy for obstruction of the sigmoid flexure of the duodenum in cattle

Veterinary Surgery : VS
Eileen S HackettSusan L Fubini

Abstract

To describe clinical findings, surgical treatment, and outcome associated with duodenoduodenostomy for treatment of duodenal obstruction secondary to adhesions associated with the sigmoid flexure of the duodenum. Retrospective study (1996-2016). Fourteen Holstein cattle. Medical records of cows treated at 3 academic surgical referral centers with duodenoduodenostomy for duodenal obstruction secondary to adhesions associated with the sigmoid flexure of the duodenum were reviewed. Data that were collected included signalment, physical examination results, laboratory results, diagnostic findings, treatments, and survival to discharge. Owners were contacted for follow-up information. Affected cattle ranged in age from 4 months to 5 years. Electrolyte abnormalities, including severe hypochloremia, were present in all cases. Abnormalities included cranial duodenal distension without concurrent distension of the descending duodenum and palpable focal adhesions in the region of the sigmoid flexure of the duodenum. Duodenoduodenostomy involved a stapled (n = 11) or sutured (n = 3) side-to-side anastomosis between the cranial duodenum and descending duodenum. Thirteen of 14 cattle that were treated with duodenoduodenostomy survived to ho...Continue Reading

References

May 7, 1983·The Veterinary Record·M A van der Velden
Jun 21, 2001·The Veterinary Journal·U KollerU Braun
Nov 25, 2003·Journal of the American Veterinary Medical Association·Derek BoerboomAndré Desrochers
Jan 8, 2011·BMC Veterinary Research·Ueli BraunTanja Schmid
Aug 25, 2012·Journal of the American Veterinary Medical Association·Susan R VogelMauricio Badillo

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