title: Comparative evaluation of two reconstructive methods following laparoscopic assisted subtotal gastrectomy in dogs.
abstract: BACKGROUND
  Laparoscopic gastrectomy is a new and technically challenging surgical procedure with potential benefit. The objective of this study was to investigate clinical and para-clinical consequences following Roux-en-Y and Jejunal Loop interposition reconstructive techniques for subtotal gastrectomy using laparoscopic assisted surgery.
  
  
  RESULTS
  Following resection of the stomach attachments through a laparoscopic approach, stomach was removed and reconstruction was performed with either standard Roux-en-Y (n = 5) or Jejunal Loop interposition (n = 5) methods. Weight changes were monitored on a daily basis and blood samples were collected on Days 0, 7 and 21 post surgery. A fecal sample was collected on Day 28 after surgery to evaluate fat content. One month post surgery, positive contrast radiography was conducted at 5, 10, 20, 40, 60 and 90 minutes after oral administration of barium sulfate, to evaluate the postoperative complications. There was a gradual decline in body weight in both experimental groups after surgery (P < 0.05). There was no difference in blood parameters at any time after surgery between the two methods (P > 0.05). Fecal fat content increased in the Roux-en-Y compared to the Jejunal loop interposition technique (P < 0.05). No major complications were found in radiographs and gastric emptying time was similar between the two groups (P > 0.05).
  
  
  CONCLUSIONS
  Roux-en-Y and Jejunal loop interposition techniques might be considered as suitable approaches for reconstructing gastro-intestinal tract following gastrectomy in dogs. The results of this study warrant further investigation with a larger number of animals.
authors.affiliation: Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran. bakhtiar@ut.ac.ir
authors.forename: Jalal
authors.initials: J
authors.lastname: Bakhtiari
authors.forename: Mahbobeh
authors.initials: M
authors.lastname: Abdi
authors.forename: Alireza R
authors.initials: AR
authors.lastname: Khalaj
authors.forename: Farzad
authors.initials: F
authors.lastname: Asadi
authors.forename: Amir
authors.initials: A
authors.lastname: Niasari-Naslaji
mesh_terms: D000713:Anastomosis, Roux-en-Y / Q000379:methods* / Q000534:rehabilitation; D000818:Animals; D001835:Body Weight; D013505:Digestive System Surgical Procedures / Q000379:methods* / Q000534:rehabilitation; D004285:Dogs; D005223:Fats / Q000032:analysis; D005243:Feces / Q000737:chemistry; D005743:Gastrectomy; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods* / Q000534:rehabilitation; D008297:Male; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000534:rehabilitation
chemical_list: D005223:Fats