Peer-reviewed veterinary case report
Removing swallowed objects from dogs and cats using
By Cola, Veronica et al.·Published in Veterinary surgery : VS·2024·Department of Veterinary Medical Sciences, Italy·View original on PubMed →
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Original publication title: Laparotomy-assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats.
Plain-English summary
A group of 81 dogs and cats with gastrointestinal foreign bodies (things they swallowed that got stuck) underwent a new procedure called laparotomy-assisted endoscopic removal (LAER) to see how well it worked compared to traditional surgery. The LAER method successfully removed the foreign bodies in 35 out of 40 pets and allowed them to recover faster, needing less pain medication and returning to eating sooner than those who had the traditional surgery. Overall, pets that had the LAER procedure had a shorter hospital stay and similar complication rates as those who had the standard surgery.
People also search for: dog swallowed foreign body treatment · cat gastrointestinal blockage surgery · laparoscopic surgery for pets
Abstract
OBJECTIVE: To compare the outcome of the laparotomy-assisted endoscopic removal (LAER) of gastrointestinal foreign bodies (FBs) with traditional enterotomy, and to determine which factors affected the ability to remove FBs. STUDY DESIGN: Retrospective observational study. SAMPLE POPULATION: Dogs and cats (n = 81) with gastrointestinal FBs. METHODS: Dogs and cats were divided into Group 1 (LAER, n = 40) and Group 2 (Enterotomy, n = 41). The localization and characteristics of the FBs (sharp or blunt; discrete or linear; single or multiple) were evaluated statistically to identify the factors that affected the ability of LAER to remove, partially or completely, the FBs (χtest). The length of the postoperative stay, postoperative analgesia, and resumption of spontaneous feeding were compared between groups (Mann-Whitney U-test). Short-term follow up (14 days) was recorded. RESULTS: Laparotomy-assisted endoscopic removal allowed complete or partial removal of FBs in 35/40 dogs and cats, regardless of the characteristics or the localization of the FBs. The presence of intestinal wall damage (p = .043) was associated with the conversion to an enterotomy. Group 1 required a shorter postoperative hospital stay (p = .006), less need for analgesia (p < .001), and experienced a faster resumption of spontaneous feeding (p = .012), and similar complication rate to Group 2. CONCLUSION: Laparotomy-assisted endoscopic removal resulted in a faster postoperative recovery when compared with an enterotomy. The FBs' characteristics or localization did not affect the efficacy of the technique to remove FBs. CLINICAL SIGNIFICANCE: Laparotomy-assisted endoscopic removal allows the removal of a variety of FBs, avoiding intestinal incision and resulting in a fast postoperative recovery.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38922967/