TY - JOUR
T1 - Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions
AU - Larose, Philippe Chagnon
AU - Singh, Ameet
AU - Giuffrida, Michelle A.
AU - Hayes, Galina
AU - Moyer, James Franklin
AU - Grimes, Janet A.
AU - Runge, Jeffrey
AU - Curcillo, Chiara
AU - Thomson, Christopher B.
AU - Mayhew, Philipp D.
AU - Bernstein, Ross
AU - Dominic, Christopher
AU - Mankin, Kelley Thieman
AU - Regier, Penny
AU - Case, J. Brad
AU - Arai, Shiori
AU - Gatineau, Mathieu
AU - Liptak, Julius M.
AU - Bruce, Charles
PY - 2020/7/1
Y1 - 2020/7/1
N2 - Objective: To describe perioperative characteristics and outcomes of dogs surgically treated for intestinal intussusception. Study design: Multi-institutional, retrospective study. Animals: One hundred fifty-three client-owned dogs with intestinal intussusception. Methods: Dogs were included when they had undergone surgical treatment of a confirmed intestinal intussusception. Medical records were reviewed for demographics and clinical data, including surgical complications (graded 1-4). Follow-up was obtained via telephone interview with owners and referring veterinarians. Results: Dogs had a median age of 10 months (range, 2-156), and the most common location for intussusception was ileocolic (66/153 [43%]). Most cases had no identifiable cause (104/155 [67%]). Intestinal resection and anastomosis (IRA) was performed in 129 of 153 (84%) dogs; enteroplication was performed in 28 of 153 (18%) dogs, including 13 with and 15 without IRA. Intraoperative complications occurred in 10 of 153 (7%) dogs, all involving intestinal damage during attempted manual reduction. The median duration of follow-up after discharge was 334 days (interquartile range, 15-990; range, 1-3302). Postoperative complications occurred in 53 of 153 (35%) dogs, including 22 of 153 (14%) with severe (grade 3 or 4) events. Diarrhea, regurgitation, and septic peritonitis were the most common postoperative complications; intussusception recurred in four of 153 (3%) dogs, all within 72 hours postoperatively. Fourteen-day postoperative mortality rate was 6%. Conclusion: Surgical treatment of intestinal intussusception was curative in most dogs, even when an underlying cause was not identified. Surgical complications were common, including a 14% risk of life-threatening short-term complications. Clinical significance: Surgical treatment of intestinal intussusception offers an excellent prognosis, but the potential life-threatening complications should be considered.
AB - Objective: To describe perioperative characteristics and outcomes of dogs surgically treated for intestinal intussusception. Study design: Multi-institutional, retrospective study. Animals: One hundred fifty-three client-owned dogs with intestinal intussusception. Methods: Dogs were included when they had undergone surgical treatment of a confirmed intestinal intussusception. Medical records were reviewed for demographics and clinical data, including surgical complications (graded 1-4). Follow-up was obtained via telephone interview with owners and referring veterinarians. Results: Dogs had a median age of 10 months (range, 2-156), and the most common location for intussusception was ileocolic (66/153 [43%]). Most cases had no identifiable cause (104/155 [67%]). Intestinal resection and anastomosis (IRA) was performed in 129 of 153 (84%) dogs; enteroplication was performed in 28 of 153 (18%) dogs, including 13 with and 15 without IRA. Intraoperative complications occurred in 10 of 153 (7%) dogs, all involving intestinal damage during attempted manual reduction. The median duration of follow-up after discharge was 334 days (interquartile range, 15-990; range, 1-3302). Postoperative complications occurred in 53 of 153 (35%) dogs, including 22 of 153 (14%) with severe (grade 3 or 4) events. Diarrhea, regurgitation, and septic peritonitis were the most common postoperative complications; intussusception recurred in four of 153 (3%) dogs, all within 72 hours postoperatively. Fourteen-day postoperative mortality rate was 6%. Conclusion: Surgical treatment of intestinal intussusception was curative in most dogs, even when an underlying cause was not identified. Surgical complications were common, including a 14% risk of life-threatening short-term complications. Clinical significance: Surgical treatment of intestinal intussusception offers an excellent prognosis, but the potential life-threatening complications should be considered.
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U2 - 10.1111/vsu.13442
DO - 10.1111/vsu.13442
M3 - Article
C2 - 32415881
AN - SCOPUS:85084807620
VL - 49
SP - 870
EP - 878
JO - Veterinary Surgery
JF - Veterinary Surgery
SN - 0161-3499
IS - 5
ER -