Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions
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 h...
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| Veröffentlicht in: | Veterinary surgery 2020-07, Vol.49 (5), p.870-878 |
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| creator | Larose, Philippe Chagnon Singh, Ameet Giuffrida, Michelle A. Hayes, Galina Moyer, James Franklin Grimes, Janet A. Runge, Jeffrey Curcillo, Chiara Thomson, Christopher B. Mayhew, Philipp D. Bernstein, Ross Dominic, Christopher Mankin, Kelley Thieman Regier, Penny Case, J. Brad Arai, Shiori Gatineau, Mathieu Liptak, Julius M. Bruce, Charles |
| description | 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. |
| doi_str_mv | 10.1111/vsu.13442 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2404048779</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2417535924</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3532-77ba6de3bc931c09796f67c0b9fd77e9189301a62c76bb243b10563987a77ac33</originalsourceid><addsrcrecordid>eNp1kE9LwzAYh4MoOqcHv4AEvOihW9K0TXOU4T8YeNCJFwlpmo6MLplJo-zbm9rpQTDvIYH34cmPHwBnGE1wPNMPHyaYZFm6B0Y4J2nCcvS6D0YIFzghGWNH4Nj7FUKIZRk5BEckzXBelngE3matNlqKFjba1NosPRSmhjZ00q6Vh7aB0QhrGxc-uGWPtlvYOSU6VcPGOqhNp3ynTXTEZ_A-eKk2nbbGn4CDRrRene7uMVjc3jzP7pP5493D7HqeSNLHpbQSRa1IJRnBEjHKiqagElWsqSlVDJeMICyKVNKiqtKMVBjlBWElFZQKScgYXA7ejbPvIabhax1DtK0wygbP0wzFKSllEb34g65scDF8T2Gak5zFD8bgaqCks9471fCN02vhthwj3nfOY-f8u_PInu-MoVqr-pf8KTkC0wH41K3a_m_iL0-LQfkFHrqK2Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2417535924</pqid></control><display><type>article</type><title>Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions</title><source>Access via Wiley Online Library</source><creator>Larose, Philippe Chagnon ; Singh, Ameet ; Giuffrida, Michelle A. ; Hayes, Galina ; Moyer, James Franklin ; Grimes, Janet A. ; Runge, Jeffrey ; Curcillo, Chiara ; Thomson, Christopher B. ; Mayhew, Philipp D. ; Bernstein, Ross ; Dominic, Christopher ; Mankin, Kelley Thieman ; Regier, Penny ; Case, J. Brad ; Arai, Shiori ; Gatineau, Mathieu ; Liptak, Julius M. ; Bruce, Charles</creator><creatorcontrib>Larose, Philippe Chagnon ; Singh, Ameet ; Giuffrida, Michelle A. ; Hayes, Galina ; Moyer, James Franklin ; Grimes, Janet A. ; Runge, Jeffrey ; Curcillo, Chiara ; Thomson, Christopher B. ; Mayhew, Philipp D. ; Bernstein, Ross ; Dominic, Christopher ; Mankin, Kelley Thieman ; Regier, Penny ; Case, J. Brad ; Arai, Shiori ; Gatineau, Mathieu ; Liptak, Julius M. ; Bruce, Charles</creatorcontrib><description>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.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.13442</identifier><identifier>PMID: 32415881</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Anastomosis ; Complications ; Demographics ; Demography ; Diarrhea ; Dogs ; Health services ; Intestinal obstruction ; Intestine ; Intussusception ; Medical records ; Peritonitis ; Regurgitation ; Veterinary surgeons</subject><ispartof>Veterinary surgery, 2020-07, Vol.49 (5), p.870-878</ispartof><rights>2020 The American College of Veterinary Surgeons</rights><rights>2020 The American College of Veterinary Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-77ba6de3bc931c09796f67c0b9fd77e9189301a62c76bb243b10563987a77ac33</citedby><cites>FETCH-LOGICAL-c3532-77ba6de3bc931c09796f67c0b9fd77e9189301a62c76bb243b10563987a77ac33</cites><orcidid>0000-0002-6862-2653 ; 0000-0002-1365-3284 ; 0000-0003-4554-8013 ; 0000-0002-8095-9339 ; 0000-0002-3673-7800</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.13442$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.13442$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32415881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Larose, Philippe Chagnon</creatorcontrib><creatorcontrib>Singh, Ameet</creatorcontrib><creatorcontrib>Giuffrida, Michelle A.</creatorcontrib><creatorcontrib>Hayes, Galina</creatorcontrib><creatorcontrib>Moyer, James Franklin</creatorcontrib><creatorcontrib>Grimes, Janet A.</creatorcontrib><creatorcontrib>Runge, Jeffrey</creatorcontrib><creatorcontrib>Curcillo, Chiara</creatorcontrib><creatorcontrib>Thomson, Christopher B.</creatorcontrib><creatorcontrib>Mayhew, Philipp D.</creatorcontrib><creatorcontrib>Bernstein, Ross</creatorcontrib><creatorcontrib>Dominic, Christopher</creatorcontrib><creatorcontrib>Mankin, Kelley Thieman</creatorcontrib><creatorcontrib>Regier, Penny</creatorcontrib><creatorcontrib>Case, J. Brad</creatorcontrib><creatorcontrib>Arai, Shiori</creatorcontrib><creatorcontrib>Gatineau, Mathieu</creatorcontrib><creatorcontrib>Liptak, Julius M.</creatorcontrib><creatorcontrib>Bruce, Charles</creatorcontrib><title>Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>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.</description><subject>Anastomosis</subject><subject>Complications</subject><subject>Demographics</subject><subject>Demography</subject><subject>Diarrhea</subject><subject>Dogs</subject><subject>Health services</subject><subject>Intestinal obstruction</subject><subject>Intestine</subject><subject>Intussusception</subject><subject>Medical records</subject><subject>Peritonitis</subject><subject>Regurgitation</subject><subject>Veterinary surgeons</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kE9LwzAYh4MoOqcHv4AEvOihW9K0TXOU4T8YeNCJFwlpmo6MLplJo-zbm9rpQTDvIYH34cmPHwBnGE1wPNMPHyaYZFm6B0Y4J2nCcvS6D0YIFzghGWNH4Nj7FUKIZRk5BEckzXBelngE3matNlqKFjba1NosPRSmhjZ00q6Vh7aB0QhrGxc-uGWPtlvYOSU6VcPGOqhNp3ynTXTEZ_A-eKk2nbbGn4CDRrRene7uMVjc3jzP7pP5493D7HqeSNLHpbQSRa1IJRnBEjHKiqagElWsqSlVDJeMICyKVNKiqtKMVBjlBWElFZQKScgYXA7ejbPvIabhax1DtK0wygbP0wzFKSllEb34g65scDF8T2Gak5zFD8bgaqCks9471fCN02vhthwj3nfOY-f8u_PInu-MoVqr-pf8KTkC0wH41K3a_m_iL0-LQfkFHrqK2Q</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Larose, Philippe Chagnon</creator><creator>Singh, Ameet</creator><creator>Giuffrida, Michelle A.</creator><creator>Hayes, Galina</creator><creator>Moyer, James Franklin</creator><creator>Grimes, Janet A.</creator><creator>Runge, Jeffrey</creator><creator>Curcillo, Chiara</creator><creator>Thomson, Christopher B.</creator><creator>Mayhew, Philipp D.</creator><creator>Bernstein, Ross</creator><creator>Dominic, Christopher</creator><creator>Mankin, Kelley Thieman</creator><creator>Regier, Penny</creator><creator>Case, J. Brad</creator><creator>Arai, Shiori</creator><creator>Gatineau, Mathieu</creator><creator>Liptak, Julius M.</creator><creator>Bruce, Charles</creator><general>John Wiley & Sons, Inc</general><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6862-2653</orcidid><orcidid>https://orcid.org/0000-0002-1365-3284</orcidid><orcidid>https://orcid.org/0000-0003-4554-8013</orcidid><orcidid>https://orcid.org/0000-0002-8095-9339</orcidid><orcidid>https://orcid.org/0000-0002-3673-7800</orcidid></search><sort><creationdate>202007</creationdate><title>Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions</title><author>Larose, Philippe Chagnon ; Singh, Ameet ; Giuffrida, Michelle A. ; Hayes, Galina ; Moyer, James Franklin ; Grimes, Janet A. ; Runge, Jeffrey ; Curcillo, Chiara ; Thomson, Christopher B. ; Mayhew, Philipp D. ; Bernstein, Ross ; Dominic, Christopher ; Mankin, Kelley Thieman ; Regier, Penny ; Case, J. Brad ; Arai, Shiori ; Gatineau, Mathieu ; Liptak, Julius M. ; Bruce, Charles</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-77ba6de3bc931c09796f67c0b9fd77e9189301a62c76bb243b10563987a77ac33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anastomosis</topic><topic>Complications</topic><topic>Demographics</topic><topic>Demography</topic><topic>Diarrhea</topic><topic>Dogs</topic><topic>Health services</topic><topic>Intestinal obstruction</topic><topic>Intestine</topic><topic>Intussusception</topic><topic>Medical records</topic><topic>Peritonitis</topic><topic>Regurgitation</topic><topic>Veterinary surgeons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Larose, Philippe Chagnon</creatorcontrib><creatorcontrib>Singh, Ameet</creatorcontrib><creatorcontrib>Giuffrida, Michelle A.</creatorcontrib><creatorcontrib>Hayes, Galina</creatorcontrib><creatorcontrib>Moyer, James Franklin</creatorcontrib><creatorcontrib>Grimes, Janet A.</creatorcontrib><creatorcontrib>Runge, Jeffrey</creatorcontrib><creatorcontrib>Curcillo, Chiara</creatorcontrib><creatorcontrib>Thomson, Christopher B.</creatorcontrib><creatorcontrib>Mayhew, Philipp D.</creatorcontrib><creatorcontrib>Bernstein, Ross</creatorcontrib><creatorcontrib>Dominic, Christopher</creatorcontrib><creatorcontrib>Mankin, Kelley Thieman</creatorcontrib><creatorcontrib>Regier, Penny</creatorcontrib><creatorcontrib>Case, J. Brad</creatorcontrib><creatorcontrib>Arai, Shiori</creatorcontrib><creatorcontrib>Gatineau, Mathieu</creatorcontrib><creatorcontrib>Liptak, Julius M.</creatorcontrib><creatorcontrib>Bruce, Charles</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Larose, Philippe Chagnon</au><au>Singh, Ameet</au><au>Giuffrida, Michelle A.</au><au>Hayes, Galina</au><au>Moyer, James Franklin</au><au>Grimes, Janet A.</au><au>Runge, Jeffrey</au><au>Curcillo, Chiara</au><au>Thomson, Christopher B.</au><au>Mayhew, Philipp D.</au><au>Bernstein, Ross</au><au>Dominic, Christopher</au><au>Mankin, Kelley Thieman</au><au>Regier, Penny</au><au>Case, J. Brad</au><au>Arai, Shiori</au><au>Gatineau, Mathieu</au><au>Liptak, Julius M.</au><au>Bruce, Charles</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2020-07</date><risdate>2020</risdate><volume>49</volume><issue>5</issue><spage>870</spage><epage>878</epage><pages>870-878</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><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.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32415881</pmid><doi>10.1111/vsu.13442</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6862-2653</orcidid><orcidid>https://orcid.org/0000-0002-1365-3284</orcidid><orcidid>https://orcid.org/0000-0003-4554-8013</orcidid><orcidid>https://orcid.org/0000-0002-8095-9339</orcidid><orcidid>https://orcid.org/0000-0002-3673-7800</orcidid></addata></record> |
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| ispartof | Veterinary surgery, 2020-07, Vol.49 (5), p.870-878 |
| issn | 0161-3499 1532-950X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2404048779 |
| source | Access via Wiley Online Library |
| subjects | Anastomosis Complications Demographics Demography Diarrhea Dogs Health services Intestinal obstruction Intestine Intussusception Medical records Peritonitis Regurgitation Veterinary surgeons |
| title | Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions |
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