Radiographic and Macroscopic Findings after One Layer Vs Two layer Laparoscopic Gastrojejunostomy in Dogs

Objectives- To evaluate radiographic changes and macroscopic findings in handsewnlaparoscopic gastrojejunostomy in dogs.Study Design-Elective experimental studyAnimals-Eighteen mix-breed healthy male and female dogs.Methods-Animals were divided in two equal groups randomly. Two layers handsewnlaparoscopic side to side gastrojejunostomy was performed in the control group and onelayer in the treatment group. Cases were monitored for four weeks. Contrast radiographswere taken in the first and last week of the study. Cases were sacrificed after four weeksand macroscopic findings were evaluated at the anastomotic site and it’s diameter wasmeasured.Results-There was no evidence of stricture, stenosis or organ displacementradiographically. No infection, stricture, fistulae formation, abscess, ischemia or grossgranulation tissue was seen, but several adhesions were found in the abdominal cavitymacroscopically. The most frequent adhesion was between omentum and the anastomoticsite which was reported in all cases. There were no statistically significant differencebetween the anastomotic diameter in both groups (P 0.05).Conclusion and clinical relevance- One layer laparoscopic handsewn gastrojejunostomyis a safe and feasible technique without serious complication with no statisticallysignificant difference with the conventional two-layer technique.