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Cruciani et al: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat
Veterinary Surgery 8, 2022

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

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← Articles

Cruciani et al: Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat
Veterinary Surgery 8, 2022

🔍 Key Findings

  • Left pancreaticoduodenostomy successfully restored digestive continuity after right lobe and body pancreatectomy in a cat.
  • No clinical signs of exocrine or endocrine insufficiency were observed postoperatively up to 225 days.
  • Histopathology confirmed chronic pancreatitis with abscess formation and reactive lymphadenopathy.
  • No postoperative pancreatitis developed, based on imaging and normal feline pancreatic lipase levels.
  • Progressive focal ampulla-like dilation of the pancreatic duct occurred near the anastomosis without clinical signs.
  • The cat maintained weight and improved clinically for several months post-op, indicating satisfactory outcomes.
  • Surgical technique involved end-to-side anastomosis between the left pancreatic duct and duodenum.
  • Ultimately, the cat was euthanized due to disseminated carcinoma, presumed unrelated to the pancreatic surgery.

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Multiple Choice Questions on this study

In Cruciani 2022 et al., on feline pancreaticoduodenostomy, which anatomical consideration required splenectomy during surgery?

A. Obstruction of the portal vein
B. Presence of splenic torsion
C. Location of pancreatic abscess near splenic vessels
D. Enlargement of the spleen
E. Concurrent hemangiosarcoma

Answer: Location of pancreatic abscess near splenic vessels

Explanation: The splenic artery and vein could not be preserved due to the extent of the abscess in the left lobe.
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what surgical technique was used to restore pancreaticoduodenal continuity after resection?

A. End-to-end jejunal anastomosis
B. Pancreaticojejunostomy with Roux-en-Y loop
C. Side-to-side gastrojejunostomy
D. End-to-side pancreaticoduodenostomy
E. Choledochojejunostomy

Answer: End-to-side pancreaticoduodenostomy

Explanation: The authors performed an end-to-side anastomosis between the left pancreatic duct and the duodenum.
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what complication did *not* occur during the follow-up period?

A. Postoperative pancreatitis
B. Weight loss
C. Exocrine pancreatic insufficiency
D. Endocrine pancreatic insufficiency
E. All of the above

Answer: All of the above

Explanation: The cat showed no signs of pancreatitis or pancreatic insufficiency; weight gain was observed.
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, what was the final histopathologic diagnosis following euthanasia?

A. Pancreatic carcinoma
B. Disseminated carcinoma of undetermined origin
C. Hepatic lipidosis with metastasis
D. Pancreatic ductal adenocarcinoma
E. Pancreatic lymphoma

Answer: Disseminated carcinoma of undetermined origin

Explanation: The origin of the carcinoma was not determined; liver and lymph node metastases were present.
In Cruciani 2022 et al., on feline pancreaticoduodenostomy, which postoperative finding was observed and monitored without clinical consequence?

A. Diffuse peritonitis
B. Severe hypoglycemia
C. Progressive dilation of the pancreatic duct
D. Fistula formation
E. Marked hyperkalemia

Answer: Progressive dilation of the pancreatic duct

Explanation: Ampulla-like dilation near the anastomosis was seen on ultrasound but was not clinically significant.

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