Search PubMed⌕ Search

Biomedical subjects

M Papageorges

Publications and source records attributed to M Papageorges.

23 records · Page 2Linked to original sources

Gastric drainage procedures: effects in normal dogs. I. Introduction and description of surgical procedures.

Gastric drainage procedures are commonly used in veterinary medicine, particularly in dogs in attempts to prevent recurrence of gastric dilatation-volvulus (GDV). The following five different procedures have been most commonly described: the Fredet-Ramstedt pyloromyotomy (FRP); Heineke-Mikulicz pyloroplasty (HMP); Finney pyloroplasty (FP); Jaboulay's gastroduodenostomy (JG); and antral gastrojejunostomy (AG). These surgical procedures have not been compared in a controlled study. This first article of a series of three describes the gastric drainage procedures performed in 30 normal dogs for a comparative study. The FRP and HMP were the fastest and easiest procedures to perform. The degree of difficulty was found to be increased but similar for FP, JG, and AG. No complication occurred during or immediately after surgery.

Animals↗

Gastric drainage procedures: effects in normal dogs. II. Clinical observations and gastric emptying.

Complete gastric emptying time using barium sulfate mixed with commercial canned dog food was measured radiographically in 29 mature mixed breed dogs before and 3 to 4 weeks after Fredet-Ramstedt pyloromyotomy (FRP) (6 dogs), Heineke-Mikulicz pyloroplasty (HMP) (6 dogs), Finney pyloroplasty (FP) (6 dogs), Jaboulay's gastroduodenostomy (JG) (6 dogs), and antral gastrojejunostomy (AG) (5 dogs). The dogs were observed for clinical evidence of side effects. Postoperative endoscopic examination and double contrast gastrography were performed to subjectively evaluate the diameter of the gastrointestinal communication and the amount of enterogastric reflux. Although none of the procedures significantly (p less than 0.05) altered gastric emptying time, the overall tendency was toward slowing down gastric emptying time. The severity of gastrointestinal side effects and enterogastric reflux appeared to be related to the size and/or location of the gastrointestinal opening.

Animal Feed↗

Gastric drainage procedures: effects in normal dogs. III. Postmortem evaluation.

Postmortem macroscopic examination of the gastrointestinal tract and plastic moldings of the gastrointestinal communication were done in 29 dogs which had been subjected 3 to 4 weeks previously to one of the following gastric drainage procedure: (1) Fredet-Ramstedt pyloromyotomy (FRP) (6 dogs); (2) Heineke-Mikulicz pyloroplasty (HMP) (6 dogs); (3) Finney pyloroplasty (FP) (6 dogs); (4) Jaboulay's gastroduodenostomy (JG) (6 dogs); and (5) antral gastrojejunostomy (AG) (5 dogs). Plastic moldings were also done in nine normal dogs of similar size for comparative measurements. Postmortem examinations and plastic casts of the antropyloroduodenal segment and antrojejunal communication showed significantly widened pyloric canal or large gastrointestinal communication compared to control dogs in all groups except for the FRP group. Almost complete healing had occurred at the myotomy site in FRP dogs, and the pyloric lumen was not significantly larger (less than 0.05) than the pyloric lumen of the control dogs. The lumen of the gastrointestinal junction was increased approximately 4.5 times in the HMP group, 12.0 times in the FP group, 7.2 times in the JG group, and 10.0 times in the AG group.

Animals↗

Evaluation of fibular head transposition for repair of experimental cranial cruciate ligament injury in dogs.

Unilateral cranial cruciate ligament excision and fibular head transposition (FHT) were performed on 30 adult dogs. Vertical ground reaction forces were determined using force plate data before and after surgery. Cranial drawer motion, tibial rotation, and varus-valgus motion were measured at monthly intervals. Radiographic, gross, and histological examinations of the stifle joints that had been operated on were performed 3 weeks, 4 months, and 10 months after surgery. A scoring system was used to evaluate lameness, osteophyte formation, and meniscal damage. Rank correlation coefficients were calculated between variables tested in pairs. Cranial drawer motion and abnormal tibial rotation were present in all of the joints that had been operated on. Peak vertical force and associated impulse were not restored during the study time period. Meniscal damage was noted in 25% of the dogs at month 4 and in 50% of the dogs at month 10. Progressive gross and histological deterioration of the articular cartilage was observed in all joints. Positive correlations were noted between the degree of stifle joint instability and meniscal injury or radiographic changes. FHT did not control cranial drawer motion and rotational instability, was not successful in restoring limb function, and did not prevent joint degeneration, especially meniscal damage.

Animals↗

Ultrasonographic appearance of splenic disease in 101 cats.

The sonographic findings in 101 cats with splenic abnormalities are presented. Diagnosis was made by ultrasound-guided fine needle aspirate or fine-needle biopsy (n = 91), ultrasound-guided core biopsy (n = 1), surgical core biopsy (n = 1), or necropsy (n = 10). Two cats had more than one diagnostic procedure (fine needle aspirate and necropsy or core biopsy and necropsy). The splenic abnormalities included lymphosarcoma (n = 30), mast cell tumor (n = 27), extramedullary hematopoiesis and/or lymphoid hyperplasia (n = 27), epithelial tumors (n = 6), mesenchymal tumors (n = 4), malignant histiocytosis (n = 2), myeloproliferative disease (n = 2), pyogranulomatous inflammation (n = 2), erythroleukemia (n = 1), eosinophilic syndrome (n = 1), hematoma (n = 1), and granulomatous splenitis (n = 1). Three cats had more than one splenic abnormality (mast cell tumor and metastatic carcinoma, pyogranulomatous inflammation and lymphoid hyperplasia, histiocytic lymphosarcoma, and lymphoid hyperplasia). Pathognomonic changes were not seen for any of the diseases.

Animals↗