Outcomes of dogs undergoing immediate or delayed surgical treatment for gastrointestinal foreign body obstruction: A retrospective study by the Society of Veterinary Soft Tissue Surgery

Outcomes of dogs undergoing immediate or delayed surgical treatment for gastrointestinal foreign body obstruction: A retrospective study by the Society of Veterinary Soft Tissue Surgery

Objective To evaluate gastrointestinal injury and outcomes between dogs treated with immediate surgical intervention vs those treated with delayed surgical intervention for gastrointestinal foreign body obstruction (GIFBO). Study design Retrospective cohort study. Sample population Client‐owned dogs...

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Published in:Veterinary surgery Vol. 50; no. 1; pp. 177 - 185
Main Authors: Maxwell, Elizabeth A., Dugat, Danielle R., Waltenburg, Michelle, Upchurch, David, Soto‐Elias, Pedro, Duffy, Daniel J., Spector, Daniel, Petrovsky, Brian, Payton, Mark
Format: Journal Article
Language:English
Published: Hoboken, USA John Wiley & Sons, Inc 01-01-2021
Blackwell Publishing Ltd
Subjects:
Anesthesia
Animals
Colon
Digestive System Surgical Procedures - classification
Digestive System Surgical Procedures - veterinary
Dog Diseases - surgery
Dogs
Female
Foreign Bodies - surgery
Foreign Bodies - veterinary
Health services
Intestine
Lactic acid
Male
Medical records
Necrosis
Perforation
Population studies
Retrospective Studies
Risk analysis
Risk factors
Risk management
Soft tissues
Surgery
Treatment Outcome
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Summary:Objective To evaluate gastrointestinal injury and outcomes between dogs treated with immediate surgical intervention vs those treated with delayed surgical intervention for gastrointestinal foreign body obstruction (GIFBO). Study design Retrospective cohort study. Sample population Client‐owned dogs (n = 855) from five referral hospitals. Methods Medical records of dogs in which GIFBO had been diagnosed between 2007 and 2017 were reviewed for preoperative management, timing of surgery, intraoperative findings, postoperative management, outcome, and survival. Surgical intervention was classified as immediate when it occurred within 6 hours of presentation and delayed when it occurred >6 hours after presentation. Results Outcomes did not differ between dogs treated immediately (n = 584) or over 6 hours after presentation (n = 210). Intestinal necrosis and perforations were more common when surgery was delayed (P = .008; P = .019) but became nonsignificant after controlling for preoperative differences. Risk factors for necrosis and perforations included duration of clinical signs, increased lactate, linear foreign material, and timing of surgery. Enterectomies (P = .004) as well as the duration of surgery (P = .004) and anesthesia (P = .001) were increased when surgery was delayed. Immediate surgery was associated with earlier return to feeding (P = .004) and discharge from the hospital (P < .001); (5%) dogs in each group (n = 33 immediate; n = 11 delayed) either had a negative explore or the foreign body was milked aborally into the colon at the time of surgery. Conclusion Although outcomes were not associated with surgical timing, the unadjusted prevalence of gastrointestinal injury and, thus, the requirement for complex surgical procedures was higher in the delayed group. Clinical significance: Earlier surgical treatment of stabilized dogs with GIFBO may involve fewer complex procedures and accelerate recovery.
Bibliography:Results of this study were presented in part at the meeting of the Society of Veterinary Soft Tissue Surgery, June 13‐15, 2019, Asheville, North Carolina.
ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0161-3499
1532-950X
DOI:10.1111/vsu.13520