Peer-reviewed veterinary case report
Outcomes after surgery for intestinal intussusception in 153 dogs
By Larose, Philippe Chagnon et al.·Published in Veterinary surgery : VS·2020·Department of Clinical Studies, Canada·View original on PubMed →
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Original publication title: Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions.
- Species:
- dog
Plain-English summary
A 10-month-old dog was brought in for surgery after being diagnosed with intestinal intussusception, a condition where part of the intestine folds into itself. The surgery involved removing the affected section of the intestine, and while most dogs recovered well, about 35% experienced complications afterward, such as diarrhea or regurgitation. Thankfully, only a small number had serious issues, and the overall prognosis was good. Most dogs returned to normal after surgery, even if the cause of the intussusception was unknown.
People also search for: dog intestinal blockage surgery · puppy diarrhea after surgery · intussusception in dogs treatment
Abstract
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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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32415881/