DOI
https://doi.org/10.18849/ve.v6i4.390Abstract
PICO question
In dogs with gastrointestinal foreign-body obstruction undergoing surgical correction, is the mortality rate in the perioperative period for those receiving resection and anastomosis higher, lower, or equivalent to those receiving an enterotomy?
Clinical bottom line
Category of research question
Outcome
The number and type of study designs reviewed
Four retrospective studies were reviewed
Strength of evidence
Weak
Outcomes reported
It would appear that the mortality rate for resection and anastomosis for the purpose of foreign-body removal is higher than that of enterotomies performed for the same reason
Conclusion
There is insufficient evidence directly comparing enterotomies with resection and anastomoses in foreign-body obstructions to definitively state that the mortality rate is higher among resection and anastomosis procedures
How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
References
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Gill, S.S., Buote, N.J., Peterson, N.W. & Bergman, P.J. (2019). Factors associated with dehiscence and mortality rates following gastrointestinal surgery in dogs. Journal of the American Veterinary Medical Association. 255(5), 569–573. DOI: https://doi.org/10.2460/javma.255.5.569
Grimes, J.A., Schmiedt, C.W., Cornell, K.K. & Radlinksy, M.A.G. (2011). Identification of risk factors for septic peritonitis and failure to survive following gastrointestinal surgery in dogs. Journal of the American Veterinary Medical Association. 238(4), 486–494. DOI: https://doi.org/10.2460/javma.238.4.486
Habenbacher, B., Bockstahler, B., Tichy, A. & Dupre, G. (2019). Enterotomy versus intestinal resection anastomosis: morbidity and mortality rates in 135 dogs and 85 cats. Wiener Tierarztliche Monatsschrift. 106(5/6), 117–127. [onine] Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=caba6&NEWS=N&AN=20193423203 [Accessed 8 Jul 2020]
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Ralphs, S.C., Jessen, C.R. & Lipowitz, A.J. (2003). Risk factors for leakage following intestinal anastomosis in dogs and cats: 115 cases (1991–2000). Journal of the American Veterinary Medical Association. 223(1), 73–77. DOI: https://doi.org/10.2460/javma.2003.223.73
Rosenbaum, J.M., Coolman, B.R., Davidson, B.L., Daly, M.L., Rexing, J.F. & Eatroff, A.E. (2016). The use of disposable skin staples for intestinal resection and anastomosis in 63 dogs: 2000 to 2014. The Journal of Small Animal Practice. 57(11), 631–636. DOI: https://doi.org/10.1111/jsap.12584
Snowdon,A., Smeak, D.D. & Chiang, S. (2015). Risk factors for dehiscence of stapled functional end-to-end intestinal anastomoses in dogs: 53 cases (2001–2012). Veterinary Surgery. 45(1), 91–99. DOI: https://doi.org/10.1111/vsu.12413
Strelchik, A., Coleman, M.C., Scharf, V.F., Stoneburner, R.M. & Thieman Mankin, K.M. (2019). Intestinal incisional dehiscence rate following enterotomy for foreign body removal in 247 dogs. Journal of the American Veterinary Medical Association. 255(6), 695–699. DOI: https://doi.org/10.2460/javma.255.6.695
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