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DVS restructures

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New look - same name

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 ..

Interventional radiology moves forward

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..

Insight – Swift recovery for Gulliver

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Interventional radiology moves forward

01-Jun-2010
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.


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