{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:03:43Z","timestamp":1771232623680,"version":"3.50.1"},"reference-count":34,"publisher":"American Veterinary Medical Association (AVMA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2017,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p><jats:bold>OBJECTIVE<\/jats:bold> To evaluate the feasibility of laparoscopy versus exploratory laparotomy for the diagnosis of specific lesions in dogs with suspected gastrointestinal obstruction.<\/jats:p>\n<jats:p><jats:bold>DESIGN<\/jats:bold> Controlled trial.<\/jats:p>\n<jats:p><jats:bold>ANIMALS<\/jats:bold> 16 client-owned dogs with physical and radiographic findings consistent with gastrointestinal obstruction.<\/jats:p>\n<jats:p><jats:bold>PROCEDURES<\/jats:bold> Single-incision laparoscopy with intracorporeal and extracorporeal examination of the gastrointestinal tract was performed by 1 surgeon. Immediately afterward, exploratory laparotomy was performed by a second surgeon. Accessibility and gross appearance of organs, surgical diagnoses, incision lengths, procedure duration, and complications were compared between diagnostic techniques.<\/jats:p>\n<jats:p><jats:bold>RESULTS<\/jats:bold> Mean (95% confidence interval) incision length was 4.9 cm (3.9 to 5.9 cm) for laparoscopy and 16.4 cm (14.0 to 18.7 cm) for exploratory laparotomy. Mean (95% confidence interval) procedure duration was 36.8 minutes (31.6 to 41.2 minutes) and 12.8 minutes (11.4 to 14.3 minutes), respectively. Diagnoses of the cause of obstruction were the same with both methods. In 13 dogs, the laparoscopic examination was successfully completed, and in the other 3, it was incomplete. In 4 dogs in which laparoscopy was successful, conversion to exploratory laparotomy or considerable extension of the laparoscopic incision would have been required to allow subsequent surgical treatment of identified lesions. No dogs developed major complications, and minor complication rates were similar between procedures.<\/jats:p>\n<jats:p><jats:bold>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:bold> Laparoscopy was feasible and clinically applicable in dogs with suspected gastrointestinal obstruction. Careful patient selection and liberal criteria for conversion to an open surgical approach are recommended when laparoscopy is considered for the diagnosis of gastrointestinal lesions in dogs.<\/jats:p>","DOI":"10.2460\/javma.251.3.307","type":"journal-article","created":{"date-parts":[[2017,7,13]],"date-time":"2017-07-13T13:40:24Z","timestamp":1499953224000},"page":"307-314","source":"Crossref","is-referenced-by-count":15,"title":["Diagnostic usefulness of laparoscopy versus exploratory laparotomy for dogs with suspected gastrointestinal obstruction"],"prefix":"10.2460","volume":"251","author":[{"given":"Katie S.","family":"Barry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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appendicitis","volume":"259","author":"Isaksson","year":"2014"},{"key":"ref6","series-title":"J Laparoendosc Adv Surg Tech A","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1089\/lap.2012.0276","article-title":"Laparoscopic-assisted versus open surgery for colorectal cancer: short- and long-term outcomes comparison","volume":"23","author":"Biondi","year":"2013"},{"key":"ref7","series-title":"Mastery of endoscopic and laparoscopic surgery","first-page":"484","author":"Swanstrom","year":"2013"},{"key":"ref8","series-title":"Surg Endosc","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1007\/s00464-011-1885-9","article-title":"The role of laparoscopy in the management of acute small-bowel obstruction: a review of over 2,000 cases","volume":"26","author":"O'Connor","year":"2012"},{"key":"ref9","series-title":"Surg Endosc","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1007\/s004640000104","article-title":"Laparoscopic management of mechanical small bowel obstruction: are there predictors of success or failure?","volume":"14","author":"Suter","year":"2000"},{"key":"ref10","series-title":"Hepatogastroenterology","first-page":"522","article-title":"Laparoscopic management of acute small bowel obstruction: a retrospective study on 156 patients","volume":"55","author":"Mathieu","year":"2008"},{"key":"ref11","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1111\/j.1532-950X.2011.00818.x","article-title":"A wound retraction device for laparoscopic-assisted intestinal surgery in dogs and cats","volume":"40","author":"Gower","year":"2011"},{"key":"ref12","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1111\/j.1532-950X.2013.12017.x","article-title":"Single incision laparoscopic-assisted intestinal surgery (SILAIS) in 7 dogs and 1 cat","volume":"42","author":"Case","year":"2013"},{"key":"ref13","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"921","DOI":"10.2460\/javma.2005.227.921","article-title":"Duration, complications, stress, and pain of open ovariohysterectomy versus a simple method of laparoscopic-assisted ovariohysterectomy in dogs","volume":"227","author":"Devitt","year":"2005"},{"key":"ref14","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1111\/j.1532-950X.2009.00572.x","article-title":"The effect of laparoscopic versus open ovariectomy on postsurgical activity in small dogs","volume":"38","author":"Culp","year":"2009"},{"key":"ref15","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"193","DOI":"10.2460\/javma.240.2.193","article-title":"Comparison of surgical site infection rates in clean and clean-contaminated wounds in dogs and cats after minimally invasive versus open surgery: 179 cases (2007\u20132008)","volume":"240","author":"Mayhew","year":"2012"},{"key":"ref16","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"703","DOI":"10.2460\/javma.243.5.703","article-title":"Evaluation of costs and time required for laparoscopic-assisted versus open cystotomy for urinary cystolith removal in dogs: 43 cases (2009\u20132012)","volume":"243","author":"Arulpragasam","year":"2013"},{"key":"ref17","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"315","DOI":"10.2460\/javma.251.3.315","article-title":"Ultrasonographic and computed tomographic characterization and localization of suspected mechanical gastrointestinal obstruction in dogs","volume":"251","author":"Winter","year":"2017"},{"key":"ref18","series-title":"Vet Surg","first-page":"807","article-title":"Evaluation of single port access gastropexy and ovariectomy using articulating instruments and angled telescopes in dogs","volume":"42","author":"Runge","year":"2013"},{"key":"ref19","series-title":"J Small Anim 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abnormalities in dogs with gastrointestinal foreign bodies","volume":"19","author":"Boag","year":"2005"},{"key":"ref23","series-title":"Vet Radiol Ultrasound","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1111\/j.1740-8261.2010.01791.x","article-title":"Comparison of radiography and ultrasonography for diagnosing small-intestinal mechanical obstruction in vomiting dogs","volume":"52","author":"Sharma","year":"2011"},{"key":"ref24","series-title":"Vet Radiol Ultrasound","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1111\/j.1740-8261.2012.01949.x","article-title":"Comparison of abdominal computed tomography and abdominal ultrasound in sedated dogs","volume":"53","author":"Fields","year":"2012"},{"key":"ref25","series-title":"Vet Radiol Ultrasound","first-page":"591","article-title":"Comparison between survey radiography, B-mode ultrasonography, contrast-enhanced ultrasonography and contrast-enhanced multi-detector computed tomography findings in dogs with acute abdominal signs","volume":"54","author":"Shanaman","year":"2013"},{"key":"ref26","series-title":"Sci World J","first-page":"298392","article-title":"CT findings of patients with small bowel obstruction due to bezoar: a descriptive study","author":"Altintoprak","year":"2013"},{"key":"ref27","series-title":"Eur Radiol","doi-asserted-by":"publisher","first-page":"1405","DOI":"10.1007\/s003300100882","article-title":"Small bowel obstruction: the role of computed tomography in its diagnosis and management with reference to other imaging modalities","volume":"11","author":"Burkill","year":"2001"},{"key":"ref28","series-title":"AJR Am J Radiol","first-page":"37","article-title":"CT of small-bowel obstruction: value in establishing the diagnosis and determining the degree and cause","volume":"162","author":"Frager","year":"1994"},{"key":"ref29","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1111\/j.1532-950X.2010.00759.x","article-title":"Conversion from diagnostic laparoscopy to laparotomy: risk factors and occurrence","volume":"40","author":"Buote","year":"2011"},{"key":"ref30","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1111\/vaa.12116","article-title":"An evidence-based medicine approach to small animal anaesthetic mortality in a referral practice: the influence of initiating three recommendations on subsequent anaesthetic deaths","volume":"41","author":"Bille","year":"2014"},{"key":"ref31","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1111\/j.1467-2995.2011.00686.x","article-title":"Risk of anaesthetic mortality in dogs and cats: an observational cohort study of 3546 cases","volume":"39","author":"Bille","year":"2012"},{"key":"ref32","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1111\/j.1467-2995.2008.00397.x","article-title":"The risk of death: the Confidential Enquiry into Perioperative 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