| Revista: | Acta cirurgica brasileira |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000271688 |
| ISSN: | 0102-8650 |
| Autores: | Pierro, Andre Canesso1 Mantovani, Mario Reis, Norair Salviano dos2 Morandin, Rosana Celestina Fraga, Gustavo Pereira |
| Instituciones: | 1Universidade Estadual de Campinas, Faculdade de Ciencias Medicas, Campinas, Sao Paulo. Brasil 2Pontificia Universidade Catolica de Campinas, Faculdade de Ciencias Biologicas, Campinas, Sao Paulo. Brasil |
| Año: | 2005 |
| Periodo: | Ene-Feb |
| Volumen: | 20 |
| Número: | 1 |
| Paginación: | 28-35 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental, analítico |
| Resumen en inglés | PURPOSE: The goal of this study is to compare the results of two different procedures to complex duodenal lesion (grade III), in an animal model. METHODS: Twenty-four mongrel dogs, weighting 10 to 15 kg, were distributed in 4 groups of 6 animals each. All animals were submitted to a complex duodenal lesion (grade III), with a 50% loss of its circumference. All animals were treated with a longitudinal repair, resulting a significant narrowing of the duodenal lumen. Groups A and C animals were submitted solely to repair while groups B and D, also underwent pyloric exclusion and gastrojejunostomy as a protection method. Groups A and B animals were sacrificed at day 7 post op, while groups C and D were sacrificed at day 14. The following parameters were studied: weight-loss, degree of duodenal stenosis, operative site, vomiting, anastomotic leak, intra-abdominal abscess formation and death. RESULTS: The results obtained with simple duodenal repair were superior to pyloric exclusion and gastrojejunostomy in that the animals lost less weight and vomited less. It was also a simpler and less traumatic procedure. There were no differences in duodenal stenosis, leak, intra-abdominal abscess incidence or death between the two treatment groups. CONCLUSION: Duodenal suture associated to pyloric exclusion and gastrojejunostomy resulted more weight-loss and more vomiting incidence; the healing process of the duodenal suture line were similar between the two treatments; both treatments resulted similar increase in the duodenal stenosis degree; there were no cases of suture dehiscence, anastomotic leak, intra-abdominal abscess or death related to the kind of treatment; all animals submitted to pyloric occlusion had it intact at the time of necropsis |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Gastroenterología, Medicina experimental, Lesiones, Gastroyeyunostomia, Cirugía experimental, Duodeno, Sutura, Anastomosis |
| Keyword: | Medicine, Experimental medicine, Gastroenterology, Surgery, Anastomosis, Experimental surgery, Lesions, Duodenum, Suture, Gastrojejunostomy |
| Texto completo: | Texto completo (Ver HTML) |
