Department of Small Animal Medicine and Surgery, College of Veterinary Medicine at the University of Georgia, Athens, GA, USA.
J Feline Med Surg. 2023 Jun;25(6):1098612X231178140. doi: 10.1177/1098612X231178140.
Gastrointestinal foreign bodies (FBs) are an important cause of emergency surgical intervention in cats, but little information exists in the literature evaluating the risks and outcomes in this species. The study purpose was to describe cases of feline FBs and compare perioperative factors and outcomes between linear foreign body (LFB) and discrete foreign body (DFB) surgery in cats.
The medical records from the University of Georgia Veterinary Teaching Hospital were searched for cats that had undergone surgery for FB removal between August 2009 and August 2021. Perioperative data were collected and described. Data were compared between cats with an LFB and cats with a DFB. A binomial probability series was used to estimate the likelihood of postoperative septic peritonitis or mortality in an additional cat in the series.
A total of 56 cats were included in this study; 38 cats had a DFB and 18 had an LFB. No cats developed postoperative septic peritonitis, and all cats survived. The likelihood of postoperative septic peritonitis or mortality in an additional cat was estimated to be <5.2%. Cats with an LFB were found to have a significantly higher body condition score ( = 0.047), albumin ( = 0.025), American Society of Anesthesiologists status ( = 0.027), surgery length ( <0.001) and total cost of visit ( = 0.006) when compared with cats with a DFB. Cats with LFBs were more likely to develop a surgical site infection (SSI; = 0.007) and be administered postoperative antibiotics ( = 0.017).
Cats undergoing surgery for gastrointestinal FBs had a low incidence of postoperative complications. Cats with LFBs had longer surgeries and were more likely to develop postoperative SSIs.
胃肠道异物（FB）是猫急诊手术的重要原因，但文献中关于该物种风险和结果的信息很少。本研究旨在描述猫的 FB 病例，并比较猫线性异物（LFB）和离散异物（DFB）手术的围手术期因素和结果。
检索 2009 年 8 月至 2021 年 8 月期间在佐治亚大学兽医学院接受 FB 切除手术的猫的病历。收集并描述围手术期数据。将 LFB 猫和 DFB 猫的数据进行比较。使用二项概率级数估计该系列中另一只猫发生术后脓毒性腹膜炎或死亡的可能性。
本研究共纳入 56 只猫；38 只猫有 DFB，18 只猫有 LFB。没有猫发生术后脓毒性腹膜炎，所有猫均存活。估计该系列中另一只猫发生术后脓毒性腹膜炎或死亡的可能性<5.2%。与 DFB 猫相比，LFB 猫的体况评分（=0.047）、白蛋白（=0.025）、美国麻醉师协会状态（=0.027）、手术时间（<0.001）和总就诊费用（=0.006）显著更高。与 DFB 猫相比，LFB 猫更有可能发生手术部位感染（SSI；=0.007）和接受术后抗生素治疗（=0.017）。
接受胃肠道 FB 手术的猫术后并发症发生率较低。LFB 猫的手术时间较长，更有可能发生术后 SSI。
