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犬猫广泛小肠切除术:20例(1998 - 2004年)

Extensive small bowel resection in dogs and cats: 20 cases (1998-2004).

作者信息

Gorman Stephanie C, Freeman Lisa M, Mitchell Susan L, Chan Daniel L

机构信息

Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA 01536, USA.

出版信息

J Am Vet Med Assoc. 2006 Feb 1;228(3):403-7. doi: 10.2460/javma.228.3.403.

Abstract

OBJECTIVE

To determine outcome in dogs and cats that underwent extensive (ie, > 50%) resection of the small intestine and identify factors associated with outcome.

DESIGN

Retrospective case series.

ANIMALS

13 dogs and 7 cats.

PROCEDURE

Medical records were reviewed, and follow-up information was obtained.

RESULTS

In all 7 cats and in 8 of the 13 dogs, extensive intestinal resection was performed because of a foreign body. Mean+/-SD estimated percentage of intestine that was removed was 68+/-14% (range, 50% to 90%). Two dogs were euthanized 3 days after surgery because of dehiscence of the surgical site and development of septic peritonitis; 1 dog died of acute respiratory distress syndrome 5 days after surgery. The remaining 10 dogs and 7 cats were discharged from the hospital, and follow-up information was available for 15 of the 17. Median survival time was 828 days, and 12 of the 15 animals for which long-term follow-up information was available had good outcomes. However, none of the factors examined, including percentage of intestine resected, were significantly associated with outcome.

CONCLUSIONS AND CLINICAL RELEVANCE

Most dogs and cats that underwent extensive resection of the small intestine had a good outcome. The amount of intestine resected was not associated with outcome. These data may be useful in providing prognostic information in cases of extensive small intestinal resection.

摘要

目的

确定接受广泛(即>50%)小肠切除的犬猫的预后情况,并识别与预后相关的因素。

设计

回顾性病例系列研究。

动物

13只犬和7只猫。

方法

查阅病历并获取随访信息。

结果

所有7只猫以及13只犬中的8只,因异物而进行了广泛的肠切除。切除肠段的平均±标准差估计百分比为68±14%(范围为50%至90%)。2只犬在术后3天因手术部位裂开和感染性腹膜炎而实施安乐死;1只犬在术后5天死于急性呼吸窘迫综合征。其余10只犬和7只猫出院,17只中有15只获得了随访信息。中位生存时间为828天,在可获得长期随访信息的15只动物中,12只预后良好。然而,所检查的因素,包括切除肠段的百分比,均与预后无显著相关性。

结论及临床意义

大多数接受广泛小肠切除的犬猫预后良好。切除肠段的长度与预后无关。这些数据可能有助于为广泛小肠切除病例提供预后信息。

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