title: Clinical evaluation of a modified circumcostal gastropexy in dogs.
abstract: A modified circumcostal gastropexy was performed in 5 Greyhounds. A 3-cm-long tunnel was created between the seromuscular and submuscosal layers of the pyloric antrum. A 6- to 7-cm-long segment of the cartilaginous portion of the 10th or 11th rib was dissected free of surrounding tissues and transected; the proximal portion of the rib was inserted through the seromuscular tunnel. The transected ends of the rib were overlapped approximately 1.5 cm and sutured in apposition in a side-by-side manner. Mean time for completion of the gastropexy was 11.5 minutes. Persistence of the surgically created gastric adhesion was verified by laparoscopy and ultrasonography 6 and 18 months after surgery. Positive-contrast radiography confirmed normal anatomic position of the stomach. Important complications associated with the procedure were not detected. Results for these 5 dogs indicated that modified circumcostal gastropexy could be performed rapidly, was safe, and created long-lasting gastric fixation.
authors.affiliation: Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia 65211, USA.
authors.forename: E R
authors.initials: ER
authors.lastname: Pope
authors.forename: B D
authors.initials: BD
authors.lastname: Jones
mesh_terms: D000818:Animals; D002102:Cadaver; D004283:Dog Diseases / Q000517:prevention & control* / Q000601:surgery; D004285:Dogs; D005069:Evaluation Studies as Topic; D005260:Female; D013271:Gastric Dilatation / Q000517:prevention & control / Q000601:surgery / Q000662:veterinary*; D008297:Male; D012008:Recurrence; D012272:Ribs / Q000601:surgery*; D013270:Stomach / Q000601:surgery*; D013277:Stomach Volvulus / Q000517:prevention & control / Q000601:surgery / Q000662:veterinary*; D000267:Tissue Adhesions