Comparative Efficacy of Finney and Jaboulay
Pyloroplasty for the Relief of Pyloric Stenosis in Dogs
M Ali Khan, M Arif Khan*, SG Bokhari, NU Khan, AU
Khan,M
Ijaz, IU Khan,S
Aslam, UF Durrani, HBR Chaudhry, N Hussain, H Akbar, HK Shahzadand A Ullah
Department of Clinical Medicine & Surgery,
University of Veterinary & Animal Sciences, Lahore, Pakistan; *Corresponding author: marif@uvas.edu.pk
Abstract
In view of the high incidence of pyloric stenosis
in dogs, this study was conducted to compare the efficacy of two surgical
techniques, viz. Finney and Jaboulay pyloroplasties in providing relief to
gastric outlet obstruction and to report complications, if any. Healthy mongrel
dogs (n=24) with similar physique, age and body weight were selected and
randomly divided into three groups i.e. Groups A, B and C comprising eight dogs
each. The dogs in Groups A and B were operated upon with Finney and Jaboulay
pyloroplasty, respectively, whereas Group C dogs served as Control. Efficacy of
the techniques was compared in terms of wound healing as ascertained through
clinical findings; post-operative increase in external pyloric diameter as
measured through B-mode ultrasonography and exploratory laparotomy; accuracy of
the anastomosis and signs of leakage if any, as evidenced by contrast
radiography, and the amount of adhesion formation, checked through exploratory
laparotomy.Wound healing in both
groups A and B was satisfactory, except for transient post-operative
complications in three dogs, subsequently managed through proper medication.
Sonographic measurements of the anastomosed external pyloric diameter strikingly
correlated with measurements taken 3 months’ post-operatively through an
exploratory laparotomy, and revealed a wider pyloric lumen in Group B (Jaboulay
Pyloroplasty) suggesting better gastric drainage in this group (P≤0.001) as
compared to Group A (Finney Pyloroplasty). Consequently no sign of leakage was
observed in either group. Conclusively, Jaboulay pyloroplasty proved superior to
Finney pyloroplasty, in providing a wider lumen facilitating relief from pyloric
stenosis and better gastric drainage post-operatively.