{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T23:35:30Z","timestamp":1782776130527,"version":"3.54.5"},"reference-count":27,"publisher":"American Veterinary Medical Association (AVMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2002,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Objective<\/jats:bold>\u2014To develop laparoscopic-assisted techniques\nfor enterostomy feeding tube placement and\nfull-thickness biopsy of the jejunum in dogs.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Animals<\/jats:bold>\u201415 healthy dogs.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Procedure<\/jats:bold>\u2014Dogs were anesthetized, and positive\npressure ventilation was provided. A trocar cannula\nfor the laparoscope was inserted on the ventral midline\ncaudal to the umbilicus. For enterostomy tube\nplacement, a second trocar cannula was placed lateral\nto the right rectus abdominis muscle, and a\nBabcock forceps was used to grasp the duodenum\nand elevate it to the incision made for the cannula.\nThe duodenum was sutured to the abdominal wall,\nand a feeding tube was inserted. For jejunal biopsy, a\nthird trocar cannula was placed lateral to the left rectus\nabdominis muscle. A portion of jejunum was elevated\nto the incision for the second or third cannula,\nand a full-thickness biopsy specimen was obtained. A\nsecond specimen was obtained from another portion\nof jejunum, and retention sutures for the 2 biopsy\nsites were tied so that serosal surfaces of the biopsy\nsites were apposed to each other. Dogs were euthanatized\n30 days after surgery.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Results<\/jats:bold>\u2014The enterostomy tube was properly positioned\nand functional in all 8 dogs that underwent\nlaparoscopic-assisted enterostomy tube placement,\nand sufficient samples for histologic examination\nwere obtained from all 7 dogs that underwent laparoscopic-assisted jejunal biopsy. None of the dogs had\nany identifiable problems after surgery.<\/jats:p>\n\t\t\t\t<jats:p>\n\t\t\t\t\t<jats:bold>Conclusion and Clinical Relevance<\/jats:bold>\u2014Results suggest\nthat in dogs, laparoscopic-assisted procedures\nfor enterostomy tube placement and jejunal biopsy\nare an acceptable alternative to procedures performed\nduring a laparotomy. 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