Morrison Sean, Prostredny Joseph, Roa Daren
Chesapeake Veterinary, Referral Surgery, 808 Bestgate Road, Annapolis, Maryland 21401, USA.
J Am Anim Hosp Assoc. 2008 Jan-Feb;44(1):10-8. doi: 10.5326/0440010.
Medical records were reviewed of 24 dogs and four cats that underwent cholecystoduodenostomy to relieve extrahepatic biliary obstruction. These procedures had been performed using a 30-mm endoscopic gastrointestinal anastomosis stapler. At presentation, most animals had clinical signs of vomiting and anorexia, and total bilirubin was elevated in both dogs (n=21) and cats (n=4). Pancreatitis (n=13), cholangiohepatitis (n=7), and neoplasia (n=6) were the most common underlying conditions. Sixteen dogs and two cats survived to their 2-week reevaluation. The most common cause of death was euthanasia (n=9) secondary to neoplasia (n=4), peritonitis (n=3), or respiratory arrest (n=2).
回顾了24只犬和4只猫的病历，这些动物接受了胆囊十二指肠吻合术以缓解肝外胆管梗阻。这些手术使用30毫米内镜胃肠吻合器进行。就诊时，大多数动物有呕吐和厌食的临床症状，犬（n = 21）和猫（n = 4）的总胆红素均升高。胰腺炎（n = 13）、胆管肝炎（n = 7）和肿瘤（n = 6）是最常见的潜在疾病。16只犬和2只猫存活至2周复查。最常见的死亡原因是因肿瘤（n = 4）、腹膜炎（n = 3）或呼吸骤停（n = 2）继发的安乐死（n = 9）。
