Muhammad Imtiaz

Comparative Efficacy Of Y-U Antral Advancement Flappyloro Plasty And Inverted Pylorous Duodenal Plasty As A Relief to Pyloric Stenosis in Experimental Dogs - 2007

The present study was designed to evaluate the comparative efficacy of Y-U Antral advancement flap pyloroplasty and inverted pyloi'us duodenal plasty as a solution to pyloric stenosis in dogs. Study was conducted on twelve healthy clogs with same age
and body weight. The dogs were divided into three groups i.e A, B and C' comprising of four animals each. The dogs in group A and B were subjected to Y-U Antral
advancement flap pyloroplasty and inverted pylorus duodenal plasty respectively whereas dogs in group C were kept as control. All the dogs were kept at surgery section department of C.M.S (Clinical Medicine and Surgery), UVAS Lahore throughout the experimental period for two months postoperatively. Prior to surgery, extreme cautions were observed to assure a successful attempt of this operation. The two techniques were evaluated on the basis of best effectiveness of the techniques as a relief to gastric outlet obstruction i.e. improvement in lurninal diameter post-operatively, development of adhesions, ease in surgery, healing at the operation site and least post operative complications. The evaluation of the procedures used were made on the basis of clinical observation, gastric emptying time, contrast radiography and post euthanasia assessment. The results of this study clearly indicated that the efficacy of Inverted pylorus cluodenal plasty was better than Y-U antral acivancenient flap pyloroplasty in tenns of convenience, short duration of operation, less post operative complications, increased the diameter of lumen and to provide better gastric drainage in short period of time. '[he technique can easily be used by an average practioner work in the field.



Department of Clinical Medicine & Surgery

0987,T


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