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Pyloric Outflow Obstruction 851.e3

Nutrition/Diet pyloric stenosis because the muscular layer of Nader GB, et al: Pyloric obstruction secondary to
Liquid or blenderized diets fed as small meals the pylorus contributes less to obstruction than epicardial pacemaker implantation: a case report.
J Vet Cardiol 19:95-98, 2017.
VetBooks.ir Drug Interactions Technician Tips Walter MC, et al: Gastric outflow surgical problems. Diseases and Disorders
mucosal abnormalities in most canine cases.
may help reduce vomiting.
Probl Vet Med 1:196, 1989.
Avoid gastric prokinetic drugs in the face of
helpful for early suspicion of the congenital
gastric obstruction. Nursing observations of the vomiting are often RELATED CLIENT EDUCATION
form. SHEETS
Possible Complications
Advise clients that recurrence or incomplete Client Education Consent to Perform Abdominal Ultrasound
surgical success can occur. Breed associations may raise suspicion for the Consent to Perform Endoscopy, Upper GI
disorder. Although surgical intervention often (Gastroduodenoscopy)
Recommended Monitoring greatly improves clinical signs, complete resolu- Consent to Perform Exploratory Laparotomy
Monitor for resolution of vomiting. tion of vomiting may not be seen in all dogs. AUTHOR: Mark E. Hitt, DVM, DACVIM
EDITOR: Rance K. Sellon, DVM, PhD, DACVIM
PROGNOSIS & OUTCOME SUGGESTED READING
Leib MS, et al: Endoscopic diagnosis of chronic
Prognosis is generally good after surgical treat- hypertrophic pyloric gastropathy in dogs. J Vet
ment, but some animals may continue to vomit Intern Med 7: 335, 1993.
with reduced frequency.
ADDITIONAL SUGGESTED
PEARLS & CONSIDERATIONS READINGS
Khan MA, et al: Comparative efficacy of Finney
Comments and Jaboulay pyloroplasty for the relief of pyloric
Endoscopic balloon dilation lacks the success stenosis in dogs. Pak Vet J 35:188-192, 2015.
found in pediatric medicine for treatment of

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