Abstract:
A nine-year-old female Rottweiler with a history of repeated gastrointestinal ulcerations
and three previous surgical interventions related to gastrointestinal ulceration presented
with symptoms of anorexia and intermittent vomiting. Benign gastric outflow obstruction
was diagnosed in the proximal duodenal area. The initial surgical plan was to perform a
pylorectomy with gastroduodenostomy (Billroth I procedure), but owing to substantial scar
tissue and adhesions in the area a palliative gastrojejunostomy was performed. This procedure
provided a bypass for the gastric contents into the proximal jejunum via the new stoma, yet
still allowed bile and pancreatic secretions to flow normally via the patent duodenum. The
gastrojejunostomy technique was successful in the surgical management of this case, which
involved proximal duodenal stricture in the absence of neoplasia. Regular telephonic followup
over the next 12 months confirmed that the patient was doing well.
