Putterman Allison B, Trumpatori Brian, Mathews Kyle G
Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, Urbana, Illinois.
Department of Surgery, Veterinary Specialty Hospital of the Carolinas, Cary, North Carolina.
Vet Surg. 2019 Oct;48(7):1338-1343. doi: 10.1111/vsu.13174. Epub 2019 Feb 8.
To report the surgical treatment and outcome of an adult dog with a duodenal perforation treated with a vascularized jejunal patch graft.
Case report.
A 1-year-old castrated male boxer dog.
Damage to a duodenal segment containing the major and minor papillae was repaired with a vascularized jejunal graft. A segment of healthy jejunum was mobilized maintaining the jejunal vessels, and a donor site anastomosis was performed. The vascularized jejunal graft was incised on the antimesenteric border creating a rectangular segment, which was trimmed and sutured to the duodenal recipient site as a patch graft to repair the defect.
The dog recovered well without major complications. Within 2 weeks, appetite and bowel movements were normal, with no episodes of vomiting. Infrequent regurgitation resolved without medical therapy.
A vascularized jejunal patch graft is a feasible option for successful surgical repair of duodenal injury in the dog.
This report describes a novel surgical repair technique for treatment of gastrointestinal injuries.
报告一只成年犬十二指肠穿孔采用带血管空肠补片移植治疗的手术治疗方法及结果。
病例报告。
一只1岁去势雄性拳师犬。
对包含十二指肠大乳头和小乳头的十二指肠段损伤，采用带血管空肠移植进行修复。游离一段健康空肠并保留空肠血管，进行供体部位吻合。在带血管空肠移植的对系膜缘切开，形成一个矩形段，修剪后作为补片移植缝合至十二指肠受体部位以修复缺损。
该犬恢复良好，无重大并发症。2周内食欲和排便正常，无呕吐发作。偶尔的反流未经药物治疗即缓解。
带血管空肠补片移植是犬十二指肠损伤成功手术修复的可行选择。
本报告描述了一种治疗胃肠道损伤的新型手术修复技术。
