Linear and discrete foreign body small intestinal obstruction outcomes, complication risk factors, and single incision red rubber catheter technique success in cats

Author:

Miller Annellie Kaitlin1ORCID,Regier Penny Jean1,Ham Kathleen Marie1,Case Joseph Bradly1,Fisher Kristina Janine1,Rogers Jessika Mary1,Daly Edward James1,Colee James Christopher2

Affiliation:

1. Department of Small Animal Clinical Sciences University of Florida Gainesville Florida USA

2. Institute of Farm and Agricultural Sciences, Statistics Consulting Unit University of Florida Gainesville Florida USA

Abstract

AbstractObjectiveTo compare survival and report perioperative complications in cats undergoing surgery for small intestinal (SI) linear (LFBO) and discrete (DFBO) foreign body obstructions (FBO). To report success of a red rubber catheter technique (RRCT) to remove LFBOs.Study designRetrospective study.AnimalsClient‐owned cats (n = 169).MethodsMedical records of cats undergoing surgery for SI FBO from a veterinary teaching hospital between February 2012 and January 2023 were classified as LFBO, DFBO, or both linear and discrete FBO (BFBO). Signalment and perioperative data were collected.ResultsPreoperative hypoalbuminemia (LFBO: n = 1/6; DFBO: n = 5/6) and septic peritonitis (LFBO: n = 2/4; DFBO: n = 0/4; BFBO: n = 2/4) were rare. Intraoperative hypotension did not differ between LFBOs and DFBOs (p = .4756). RRCT was successful in 20/24 attempts of LFBO removal. Three cats were euthanized intraoperatively (LFBO: 1; DFBO: 1; BFBO: 1). Postoperatively, two cats (DFBO) experienced intestinal dehiscence and two cats (DFBO) died or were euthanized. Survival to discharge (p = 1.0000) and postoperative complications (p = .1386) did not differ between LFBOs and DFBOs.ConclusionsPostoperative complications and survival did not differ between cats with LFBOs and DFBOs. Intestinal dehiscence secondary to FBO in cats is rare. A RRCT can be successful in many cats with LFBOs.Clinical significanceCats with LFBOs and DFBOs have similar postoperative complication rates and survival to discharge when preoperative septic peritonitis is not present. Intestinal dehiscence is rare, which is important when discussing surgical prognosis with owners. A RRCT can be considered to remove LFBOs when there is concern for multiple enterotomies.

Publisher

Wiley

Reference22 articles.

1. Partial gastrointestinal obstruction for one month due to a linear foreign body in a cat;Willis SE;Can Vet J,1991

2. Generalized peritonitis in dogs: 50 cases (1975‐1986);Hosgood G;J Am Vet Med Assoc,1988

3. Mortality and morbidity of small and large intestinal surgery in dogs and cats: 74 cases (1980‐1992);Wylie K;J Am Anim Hosp Assoc,1994

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