Peer-reviewed veterinary case report
Risk factors for intestinal staple line leaks in dogs after surgery
By Snowdon, Kyle A et al.·Published in Veterinary surgery : VS·2016·College of Veterinary Medicine, United States·View original on PubMed →
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Original publication title: Risk Factors for Dehiscence of Stapled Functional End-to-End Intestinal Anastomoses in Dogs: 53 Cases (2001-2012).
- Species:
- dog
Plain-English summary
A group of dogs needing surgery for intestinal issues underwent a procedure called an enterectomy, where parts of the intestine are removed and reconnected. Unfortunately, 11% of these dogs experienced a serious complication called anastomotic dehiscence, where the surgical connection failed, leading to a high risk of death. The study found that having inflammatory bowel disease (IBD) and certain surgical factors, like low blood pressure during surgery and the location of the connection, increased the chances of this complication. It's important for pet owners to discuss these risks with their veterinarian if their dog is facing similar surgery.
People also search for: dog intestinal surgery risks · inflammatory bowel disease in dogs · dog surgery complications · dog anastomotic dehiscence treatment
Abstract
OBJECTIVE: To identify risk factors for dehiscence in stapled functional end-to-end anastomoses (SFEEA) in dogs. STUDY DESIGN: Retrospective case series. ANIMALS: Dogs (n = 53) requiring an enterectomy. METHODS: Medical records from a single institution for all dogs undergoing an enterectomy (2001-2012) were reviewed. Surgeries were included when gastrointestinal (GIA) and thoracoabdominal (TA) stapling equipment was used to create a functional end-to-end anastomosis between segments of small intestine or small and large intestine in dogs. Information regarding preoperative, surgical, and postoperative factors was recorded. RESULTS: Anastomotic dehiscence was noted in 6 of 53 cases (11%), with a mortality rate of 83%. The only preoperative factor significantly associated with dehiscence was the presence of inflammatory bowel disease (IBD). Surgical factors significantly associated with dehiscence included the presence, duration, and number of intraoperative hypotensive periods, and location of anastomosis, with greater odds of dehiscence in anastomoses involving the large intestine. CONCLUSION: IBD, location of anastomosis, and intraoperative hypotension are risk factors for intestinal anastomotic dehiscence after SFEEA in dogs. Previously suggested risk factors (low serum albumin concentration, preoperative septic peritonitis, and intestinal foreign body) were not confirmed in this study.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26565990/