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[PMID]:28160305
[Au] Autor:Belch A; Rubinos C; Barnes DC; Nelissen P
[Ad] Endereço:Dick White Referrals, Six Mile Bottom, Cambridgeshire CB8 0UH.
[Ti] Título:Modified tube gastropexy using a mushroom-tipped silicone catheter for management of gastric dilatation-volvulus in dogs.
[So] Source:J Small Anim Pract;58(2):79-88, 2017 Feb.
[Is] ISSN:1748-5827
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To report the short- and long-term complications and clinical outcomes of a cohort of dogs managed for gastric dilatation-volvulus using a modified right-sided tube gastropexy technique. MATERIALS AND METHODS: Retrospective case series. RESULTS: Of 31 dogs treated, 29 (93·5%) had an excellent short-term outcome, and gastric dilatation-volvulus did not recur in any dog. Twenty-six dogs (84%) were initially fed via the gastrostomy tube postoperatively; three (9·7%) suffered a major complication including septic peritonitis (n=1), and premature tube removal (n=2). Fourteen dogs (45·1%) had minor complications including mild, self-limiting discharge from the stoma site in 13. CLINICAL SIGNIFICANCE: Modified tube gastropexy using a mushroom-tipped silicone catheter is an effective and safe surgical method for the management of gastric dilatation-volvulus. The gastrostomy tube allowed early enteral feeding and easy administration of medications, including gastroprotectants.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Dilatação Gástrica/veterinária
Gastropexia/veterinária
Volvo Gástrico/veterinária
[Mh] Termos MeSH secundário: Animais
Cateteres de Demora/veterinária
Cães
Feminino
Dilatação Gástrica/cirurgia
Gastropexia/efeitos adversos
Gastropexia/instrumentação
Masculino
Estudos Retrospectivos
Volvo Gástrico/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE
[do] DOI:10.1111/jsap.12615


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[PMID]:28029288
[Au] Autor:Gazzola KM; Nelson LL; Fritz MC; Clancy MR; Hauptman JG
[Ti] Título:Effects of prophylactic incisional gastropexy on markers of gastric motility in dogs as determined by use of a novel wireless motility device.
[So] Source:Am J Vet Res;78(1):100-106, 2017 Jan.
[Is] ISSN:1943-5681
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE To evaluate effects of laparoscopic-assisted incisional gastropexy (LAIG) on gastric motility in dogs by use of a wireless motility device (WMD). ANIMALS 10 healthy client-owned large or giant-breed dogs. PROCEDURES 10 dogs owned by clients interested in prophylactic LAIG were enrolled. To determine effects of LAIG on gastrointestinal motility in dogs during the nonfed state, each dog was evaluated by use of a noninvasive WMD before and > 4 weeks after LAIG. All dogs underwent LAIG, with or without concurrent elective gonadectomy. Data obtained before and after LAIG were analyzed by use of proprietary software to determine the gastric emptying time, small bowel transit time, large bowel transit time, whole bowel transit time, and motility index. RESULTS No changes in variables were detected between measurements obtained before and after prophylactic LAIG. CONCLUSIONS AND CLINICAL RELEVANCE In this study, prophylactic LAIG did not have an effect on gastrointestinal motility. The WMD was tolerated well by all dogs and appeared to be a safe and effective method for evaluating gastrointestinal motility in this population of dogs.
[Mh] Termos MeSH primário: Motilidade Gastrointestinal/fisiologia
Gastropexia/veterinária
Tecnologia sem Fio/instrumentação
[Mh] Termos MeSH secundário: Animais
Doenças do Cão/diagnóstico
Cães
Feminino
Gastropexia/efeitos adversos
Masculino
Volvo Gástrico/diagnóstico
Volvo Gástrico/veterinária
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170118
[Lr] Data última revisão:
170118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161229
[St] Status:MEDLINE
[do] DOI:10.2460/ajvr.78.1.100


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[PMID]:27990648
[Au] Autor:Takacs JD; Singh A; Case JB; Mayhew PD; Giuffrida MA; Caceres AV; Fox-Alvarez WA; Runge JJ
[Ad] Endereço:Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania.
[Ti] Título:Total laparoscopic gastropexy using 1 simple continuous barbed suture line in 63 dogs.
[So] Source:Vet Surg;46(2):233-241, 2017 Feb.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe the use and outcome of a single, simple continuous, barbed suture line for prophylactic, total laparoscopic gastropexy in dogs. STUDY DESIGN: Multi-center, retrospective case series. ANIMALS: Sixty-three client-owned dogs. METHODS: Medical records of dogs undergoing total laparoscopic gastropexy using a barbed suture at 4 academic veterinary hospitals from 2011-2015 were reviewed. Data collected included signalment, procedure time, procedure-associated complications, short-term complications, and long-term outcome. All procedures were performed under general anesthesia in dorsal to dorsal-left oblique recumbency. Laparoscopic ports were placed on ventral midline in 1 of 3 port configurations, and 5 mm laparoscopic needle drivers were used for intracorporeal sutured gastropexy with unidirectional barbed suture. The gastropexy was positioned just caudal to the 13th rib, 2-4 cm lateral to the rectus abdominis muscle. RESULTS: Sixty-three dogs underwent total laparoscopic gastropexy with a single, simple continuous, barbed suture line. Median gastropexy surgery time was 70 minutes (interquartile range [IQR] 60-90 minutes). One dog sustained splenic laceration from Veress needle penetration during initial abdominal insufflation. Short term (>24 hours to 6 months postoperative) complications included incisional seroma formation (n = 2) and suture reaction (n = 1). Long term (>6 months postoperative) complications included intermittent regurgitation and chronic diarrhea in 1 dog. Fifteen dogs had postoperative ultrasound and all had intact gastropexy sites. CONCLUSION: Total laparoscopic barbed gastropexy using a single, simple continuous, barbed suture line in dogs is safe and results in an intact gastropexy long term.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Gastropexia/veterinária
Volvo Gástrico/veterinária
Técnicas de Sutura/veterinária
[Mh] Termos MeSH secundário: Animais
Cães
Feminino
Laparoscopia/veterinária
Masculino
Complicações Pós-Operatórias/veterinária
Estudos Retrospectivos
Volvo Gástrico/cirurgia
Resultado do Tratamento
Estados Unidos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12601


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[PMID]:27434041
[Au] Autor:Schaefer H; Vivaldi C; Herbold T; Brinkmann S; Maus M; Bludau M; Töx U; Goeser T; Hoelscher AH; Leers JM
[Ad] Endereço:Department of General, Visceral and Cancer Surgery, University of Cologne, Cologne, Germany.
[Ti] Título:Percutaneous Endoscopic Gastrostomy in Direct Puncture Technique: When, Why and How?
[So] Source:Dig Surg;34(1):52-59, 2017.
[Is] ISSN:1421-9883
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) placed in the pull through (PT) technique is a common procedure to restore enteral feeding in patients with swallowing disorders. Limitations of this technique are patients with obstruction of the pharynx or esophagus or with an esophageal stent. We report our experience with the direct puncture (DP) PEG device. METHODS: We included 154 patients (55 women). One hundred forty patients had cancer. After passing the endoscope into the stomach, 4 gastropexies were performed with a gastropexy device and the PEG was placed with the introducer method. After 1 month, the sutures were removed and a constant gastrocutaneous fistula had been created and the new catheter could be placed safely. RESULTS: The DP PEG was successfully placed in all patients. Overall complication rate was 11% (minor: 6%, major: 5%). The most common event was tube dislocation (40 cases). In 5 cases of dislocation, this resulted in a major complication with injuring the gastric wall and the necessity for surgical treatment. CONCLUSIONS: The DP PEG system is safe, and can be used in cases in which a standard PT PEG is not feasible. To avoid dislocation, strict adherence to a post-interventional protocol is highly recommended.
[Mh] Termos MeSH primário: Cateteres de Demora/efeitos adversos
Gastrostomia/efeitos adversos
Gastrostomia/métodos
Falha de Prótese/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Nutrição Enteral
Estudos de Viabilidade
Feminino
Seguimentos
Gastropexia
Gastroscopia
Gastrostomia/instrumentação
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Estômago/lesões
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160720
[St] Status:MEDLINE


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[PMID]:27980146
[Au] Autor:Formaggini L
[Ad] Endereço:Lago Maggiore veterinary clinic, Dormelletto, Corso Cavour 28040, Italy; e-mail: lformaggini@cvlm.it.
[Ti] Título:Unanswered questions on gastric dilatation/volvulus and gastropexy.
[So] Source:Vet Rec;179(24):624-625, 2016 Dec 17.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Dilatação Gástrica/veterinária
Gastropexia/veterinária
Volvo Gástrico/veterinária
[Mh] Termos MeSH secundário: Animais
Cães
Dilatação Gástrica/cirurgia
Volvo Gástrico/cirurgia
[Pt] Tipo de publicação:EDITORIAL; INTRODUCTORY JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE
[do] DOI:10.1136/vr.i6721


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[PMID]:27821379
[Au] Autor:Gandini M; Giusto G
[Ad] Endereço:Department of Veterinary Sciences, University of Turin, Grugliasco, Italy.
[Ti] Título:Laparoscopic single-port ovariectomy and gastropexy in dogs.
[Ti] Título:Laparoskopische Single-Port Ovarektomie und Gastropexie beim Hund..
[So] Source:Schweiz Arch Tierheilkd;158(11):755-758, 2016 Nov.
[Is] ISSN:0036-7281
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: In this study single-port percutaneous laparoscopic gastropexy in dogs using barbed suture material in combination with ovariectomy is described. A single port preventive gastropexy was performed in 6 female German shepherds in combination with ovariectomy using a laparoscope. Surgery time, intraoperative, postoperative and follow up complications were recorded. In this study median surgery time in clinical cases was 73 minutes (range 66-79). The only difficulty reported was visualization of a proper site for gastropexy on the stomach. No complications and/or episodes of gastric volvulus were detected at a 3-month minimum follow-up. The proposed technique provides an effective and minimally invasive approach to ovariectomy and preventive gastropexy in dogs.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Gastropexia/veterinária
Laparoscopia/veterinária
Ovariectomia/veterinária
[Mh] Termos MeSH secundário: Animais
Cães
Feminino
Gastropexia/métodos
Laparoscopia/métodos
Ovariectomia/métodos
Complicações Pós-Operatórias
Volvo Gástrico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161109
[St] Status:MEDLINE


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[PMID]:27731517
[Au] Autor:Coleman KA; Adams S; Smeak DD; Monnet E
[Ad] Endereço:Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado.
[Ti] Título:Laparoscopic Gastropexy Using Knotless Unidirectional Suture and an Articulated Endoscopic Suturing Device: Seven Cases.
[So] Source:Vet Surg;45(S1):O95-O101, 2016 Nov.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To describe a technique for laparoscopic incisional gastropexy using an articulated endoscopic suturing device with knotless unidirectional barbed suture in healthy large breed dogs. STUDY DESIGN: Prospective case series. ANIMALS: Healthy client-owned dogs presented for prophylactic gastropexy and weighing >20 kg (n=7). METHODS: Incisional gastropexy was performed using a single port access system with an articulated endoscopic suturing device. An additional 5 mm cannula was placed in the right caudal abdomen. A 2-0 knotless unidirectional barbed suture was used to complete the gastropexy with 2 separate simple continuous suture lines. All dogs underwent a focal abdominal ultrasound to evaluate the gastropexy site 3-12 months postoperatively. RESULTS: Median weight of the dogs was 33.5 kg (range, 20-51 kg) and the median age was 2 years (range, 0.6-8.5 years). Median surgical time was 60 minutes (range, 39-88). The articulated suturing device malfunctioned twice. On abdominal ultrasound between 3 and 12 months, all gastropexy sites were intact. No motion was detected between the stomach and body wall during distal antral contractions or respiratory motion and a focal thickening of the gastric wall was present in dog. No complications were reported in the postoperative periods as of the 2 week suture removal visit or as of the time of their ultrasound appointment. CONCLUSION: This technique using an endoscopic articulated suturing device with a knotless unidirectional barbed suture provides a feasible technique to perform laparoscopic gastropexy.
[Mh] Termos MeSH primário: Cães/cirurgia
Endoscopia/veterinária
Laparoscopia/veterinária
Técnicas de Sutura/veterinária
[Mh] Termos MeSH secundário: Animais
Feminino
Gastropexia/métodos
Gastropexia/veterinária
Laparoscopia/métodos
Masculino
Estudos Prospectivos
Suturas/veterinária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161013
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12570


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[PMID]:27706826
[Au] Autor:Loy Son NK; Singh A; Amsellem P; Kilkenny J; Brisson BA; Oblak ML; Ogilvie AT
[Ad] Endereço:Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
[Ti] Título:Long-Term Outcome and Complications Following Prophylactic Laparoscopic-Assisted Gastropexy in Dogs.
[So] Source:Vet Surg;45(S1):O77-O83, 2016 Nov.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To characterize the short- and long-term outcome (>12 months), complications, and owner satisfaction following prophylactic laparoscopic-assisted gastropexy (LAG) in dogs. STUDY DESIGN: Retrospective study. ANIMALS: Client-owned dogs (n = 49). METHODS: Dogs that underwent prophylactic LAG at 2 veterinary academic hospitals were studied. Surgical time, anesthesia time, concurrent intra- and extra-abdominal procedures, and intraoperative and postoperative complications were recorded following review of medical records. Veterinarian and/or owner follow-up was obtained to determine outcome and satisfaction with LAG. RESULTS: Five of 49 dogs (10%) experienced complications related to abdominal access during LAG. Four percent (2/49) of dogs experienced an intraoperative complication. Follow-up information was available for 89% of dogs (44/49). Four dogs died of causes unrelated to LAG or gastric dilatation volvulus (GDV) in the follow-up period. Two dogs experienced major postoperative complications requiring additional veterinary intervention. Thirty percent (13 dogs) experienced a minor postoperative self-limiting wound-related complication. Median follow-up time was 698 days (range, 411-1825). No dogs experienced GDV. One hundred percent of dog owners were satisfied with LAG, would repeat the procedure in a future pet, and would recommend the procedure to a friend or family member. CONCLUSION: LAG was an effective procedure for prevention of GDV and was associated with high client satisfaction in this cohort of dogs. A moderate rate of postoperative wound complications occurred that were minor and self-limiting in nature.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Dilatação Gástrica/veterinária
Gastropexia/veterinária
Complicações Intraoperatórias/veterinária
Complicações Pós-Operatórias/veterinária
Procedimentos Cirúrgicos Profiláticos/veterinária
Volvo Gástrico/veterinária
[Mh] Termos MeSH secundário: Animais
Cães
Feminino
Dilatação Gástrica/cirurgia
Gastropexia/efeitos adversos
Complicações Intraoperatórias/epidemiologia
Complicações Intraoperatórias/etiologia
Masculino
Ontário
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/etiologia
Ilha do Príncipe Eduardo
Procedimentos Cirúrgicos Profiláticos/efeitos adversos
Estudos Retrospectivos
Volvo Gástrico/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161006
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12568


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[PMID]:27595155
[Au] Autor:Zaman JA; Lidor AO
[Ad] Endereço:Department of Surgery, University of Wisconsin, 600 Highland Avenue, CSC K4/744, Madison, WI, 53792, USA.
[Ti] Título:The Optimal Approach to Symptomatic Paraesophageal Hernia Repair: Important Technical Considerations.
[So] Source:Curr Gastroenterol Rep;18(10):53, 2016 Oct.
[Is] ISSN:1534-312X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:While the asymptomatic paraesophageal hernia (PEH) can be observed safely, surgery is indicated for symptomatic hernias. Laparoscopic repair is associated with decreased morbidity and mortality; however, it is associated with a higher rate of radiologic recurrence when compared with the open approach. Though a majority of patients experience good symptomatic relief from laparoscopic repair, strict adherence to good technique is critical to minimize recurrence. The fundamental steps of laparoscopic PEH repair include adequate mediastinal mobilization of the esophagus, tension-free approximation of the diaphragmatic crura, and gastric fundoplication. Collis gastroplasty, mesh reinforcement, use of relaxing incisions, and anterior gastropexy are just a few adjuncts to basic principles that can be utilized and have been widely studied in recent years. In this article, we present a comprehensive review of literature addressing key aspects and controversies regarding the optimal approach to repairing paraesophageal hernias laparoscopically.
[Mh] Termos MeSH primário: Hérnia Hiatal/cirurgia
Herniorrafia/métodos
Laparoscopia/métodos
[Mh] Termos MeSH secundário: Esôfago/patologia
Gastropexia/métodos
Hérnia Hiatal/diagnóstico por imagem
Hérnia Hiatal/etiologia
Seres Humanos
Obesidade/complicações
Cuidados Pré-Operatórios/métodos
Recidiva
Fatores de Risco
Telas Cirúrgicas
Toracoscopia/métodos
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160906
[St] Status:MEDLINE
[do] DOI:10.1007/s11894-016-0529-6


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[PMID]:27439347
[Au] Autor:Stiles M; Case JB; Coisman J
[Ti] Título:Elective gastropexy with a reusable single-incision laparoscopic surgery port in dogs: 14 cases (2012-2013).
[So] Source:J Am Vet Med Assoc;249(3):299-303, 2016 Aug 01.
[Is] ISSN:1943-569X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE To describe the technique, clinical findings, and short-term outcome in dogs undergoing laparoscopic-assisted incisional gastropexy with a reusable single-incision surgery port. DESIGN Retrospective case series. ANIMALS 14 client-owned dogs. PROCEDURES Medical records of dogs referred for elective laparoscopic gastropexy between June 2012 and August 2013 were reviewed. History, signalment, results of physical examination and preoperative laboratory testing, surgical procedure, duration of surgery, postoperative complications, duration of hospital stay, and short-term outcome were recorded. All patients underwent general anesthesia and were positioned in dorsal recumbency. After an initial limited laparoscopic exploration, single-incision laparoscopic-assisted gastropexy was performed extracorporeally in all dogs via a conical port placed in a right paramedian location. Concurrent procedures included laparoscopic ovariectomy (n = 4), gastric biopsy (2), and castration (7). Short-term outcome was evaluated. RESULTS Median duration of surgery was 76 minutes (range, 40 to 90 minutes). Intraoperative complications were minor and consisted of loss of pneumoperitoneum in 2 of 14 dogs. A postoperative surgical site infection occurred in 1 dog and resolved with standard treatment. Median duration of follow-up was 371 days (range, 2 weeks to 1.5 years). No dogs developed gastric dilation-volvulus during the follow-up period, and all owners were satisfied with the outcome. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that single-incision laparoscopic-assisted gastropexy with a reusable conical port was feasible and effective in appropriately selected cases. Investigation of the potential benefits of this reusable port versus single-use devices for elective gastropexy in dogs is warranted.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Gastropexia/veterinária
Laparoscopia/veterinária
Volvo Gástrico/veterinária
[Mh] Termos MeSH secundário: Animais
Diagnóstico Diferencial
Cães
Feminino
Masculino
Complicações Pós-Operatórias/veterinária
Estudos Retrospectivos
Volvo Gástrico/cirurgia
Técnicas de Sutura/veterinária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160722
[St] Status:MEDLINE
[do] DOI:10.2460/javma.249.3.299



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