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UK leading veterinary and scientific research charity, the Animal Health Trust (AHT), is working with other leading veterinary specialist centres (Davies Veterinary Specialists, Dick White Referra..
The team at Davies Veterinary Specialists (DVS) have saved the life of a working police dog who was critically stabbed in the line of duty last week (Sky News link: http://bit.ly/2dcL4fJ (htt..
Davies Veterinary Specialists (DVS) have confirmed their independent status with a new internal transfer of ownership and an increase in shareholding amongst colleagues. The move demonstrates the ..
A young golden Retriever, struck down by a rare disease that caused her to lose the use of her limbs overnight, has made a full recovery thanks to the dedication of her devoted owners, the skills of v..
DVS has restructured the ownership and management of the practice. Having forged an impeccable reputation over the past 12 years, the practice has welcomed new shareholders from the Directorial team, ..
The Summer 2010 newsletter incorporates DVS’s new look, which was unveiled in June. Marketing consultants Satellite Creative were appointed to refresh the practice’s logo and design theme ..
Fresh back from a trip to interventional radiology’s stateside seats of learning at the University of Pennsylvania and the Animal Medical Centre in New York, internist Ian Battersby and soft tis..
Hervé Brissot, soft tissue surgeon, explains how laparoscopic and endoscopic procedures were used for the minimally invasive treatment of a three-legged cat with chronic renal failure and a per..
Fresh back from a trip to interventional radiology’s stateside seats of learning at the University of Pennsylvania and the Animal Medical Centre in New York, internist Ian Battersby and soft tissue surgeon Ronan Doyle are now forging ahead with the development of Interventional Radiology in the UK. The techniques are well established in Human Medicine and are gaining momentum in the veterinary field for minimally invasive procedures such as the insertion of tracheal or urethral stents. Here Ronan and Ian share just one of several recent success stories that demonstrate how the capability is increasing the options that DVS can offer its patients.
A three-year-old Rottweiler was recently referred for investigations of vomiting and melaena. Endoscopy identified a duodenal stricture 5cm distal to the pylorus.
Intestinal biopsies revealed eosinophilic inflammation. There was no evidence of malignancy so the stricture was considered benign, having possibly formed following a course of NSAIDs that had resulted in upper GI ulceration. Although inflammatory intestinal disease was present, it was felt that the narrowed duodenal lumen was resulting in intestinal obstruction and contributing significantly to the patient’s clinical signs.
The obvious surgical option to relieve the duodenal obstruction was a Bilroth (gastroduodenostomy) procedure, which carries a high rate of morbidity and mortality. However, because benign strictures, such as those in the oesophagus, can be successfully managed with balloon dilation and self-expanding removable metal or biodegradable stents it was felt that this method could be viable in this case, despite the challenging location.
A serial balloon dilation was performed with endoscopic and fluoroscopic assistance (figure 2), and this successfully relieved the obstruction. Subsequent to the procedure the patient was able to eat and drink without vomiting, and the clinicians were able to concentrate management of the underlying inflammatory bowel disease.
Ian and Ronan are very happy to see cases that may benefit from Interventional Radiology and Interventional Endoscopy and are happy to discuss case suitability and costs over the phone.