Peer-reviewed veterinary case report
Surgery outcomes for severe acute pancreatitis in 37 dogs
By Thompson, Lisa J et al.·Published in Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)·2009·Advanced Critical Care and Internal Medicine, United States·View original on PubMed →
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Original publication title: Characteristics and outcomes in surgical management of severe acute pancreatitis: 37 dogs (2001-2007).
- Species:
- dog
Plain-English summary
A group of 37 dogs with severe acute pancreatitis underwent surgery to treat their condition. The overall survival rate after surgery was about 64%, with better outcomes for dogs that had extrahepatic biliary obstruction (81% survival) compared to those with pancreatic abscesses (41% survival). Some dogs experienced complications after surgery, including bleeding, diabetes, and infections. Despite these risks, surgery and careful aftercare can be beneficial for certain dogs suffering from this serious condition.
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Abstract
OBJECTIVE: Describe clinical characteristics and outcomes associated with canine patients undergoing surgical intervention for treatment of acute pancreatitis. DESIGN: Retrospective outcome study from 2001 to 2007. ANIMALS: Thirty-seven dogs. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The following data were collected for dogs who underwent surgical intervention in the course of treatment for severe acute pancreatitis: preoperative clinicopathologic and physical data, ultrasonographic findings, surgical procedure detail, histopathologic findings, and transfusion requirements. The survival rate was 80.8% in dogs with extrahepatic biliary obstruction, 64.3% in dogs undergoing necrosectomy, and 40.6% with pancreatic abscess. Overall survival was 63.6%. Surgical complications included intraoperative and postoperative hemorrhage in 12 dogs, postoperative development of diabetes mellitus in 3 dogs, exocrine pancreatic insufficiency in 1 dog, and bacterial peritonitis in 2 dogs. CONCLUSION: Surgical intervention and aggressive postoperative care may be pursued in select dogs with severe acute pancreatitis. In dogs with extrahepatic biliary obstruction secondary to acute pancreatitis, surgical intervention may be associated with a good prognosis whereas dogs with pancreatic abscess formation may have a more guarded prognosis.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19691567/