title: Laparoscopic-assisted enterostomy tube placement and full-thickness biopsy of the jejunum with serosal patching in dogs.
abstract: OBJECTIVE
  To develop laparoscopic-assisted techniques for enterostomy feeding tube placement and full-thickness biopsy of the jejunum in dogs.
  
  
  METHODS
  15 healthy dogs. PROCEDURE Dogs were anesthetized, and positive pressure ventilation was provided. A trocar cannula for the laparoscope was inserted on the ventral midline caudal to the umbilicus. For enterostomy tube placement, a second trocar cannula was placed lateral to the right rectus abdominis muscle, and a Babcock forceps was used to grasp the duodenum and elevate it to the incision made for the cannula. The duodenum was sutured to the abdominal wall, and a feeding tube was inserted. For jejunal biopsy, a third trocar cannula was placed lateral to the left rectus abdominis muscle. A portion of jejunum was elevated to the incision for the second or third cannula, and a full-thickness biopsy specimen was obtained. A second specimen was obtained from another portion of jejunum, and retention sutures for the 2 biopsy sites were tied so that serosal surfaces of the biopsy sites were apposed to each other. Dogs were euthanatized 30 days after surgery.
  
  
  RESULTS
  The enterostomy tube was properly positioned and functional in all 8 dogs that underwent laparoscopic-assisted enterostomy tube placement, and sufficient samples for histologic examination were obtained from all 7 dogs that underwent laparoscopic-assisted jejunal biopsy. None of the dogs had any identifiable problems after surgery.
  
  
  CONCLUSIONS
  Results suggest that in dogs, laparoscopic-assisted procedures for enterostomy tube placement and jejunal biopsy are an acceptable alternative to procedures performed during a laparotomy.
authors.affiliation: Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens 30602-7390, USA.
authors.forename: Clarence A
authors.initials: CA
authors.lastname: Rawlings
authors.forename: Elizabeth W
authors.initials: EW
authors.lastname: Howerth
authors.forename: Shannon
authors.initials: S
authors.lastname: Bement
authors.forename: Chanda
authors.initials: C
authors.lastname: Canalis
mesh_terms: D000818:Animals; D001706:Biopsy / Q000379:methods / Q000662:veterinary*; D004285:Dogs / Q000601:surgery*; D004766:Enterostomy / Q000379:methods / Q000662:veterinary*; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods / Q000662:veterinary*; D008297:Male; D010288:Parenteral Nutrition / Q000295:instrumentation / Q000662:veterinary