Prettegiani B, Maritato K
MedVet Cincinnati, Fairfax, Ohio, USA.
J Small Anim Pract. 2025 Apr;66(4):243-247. doi: 10.1111/jsap.13827. Epub 2025 Jan 12.
The objective of the study is to describe a surgical technique of intestinal foreign body retrieval without gastrotomy using an endoscopic grasper and digital manipulation, and to compare short-term outcomes with patients who had similar obstructive intestinal foreign bodies removed via gastrotomy.
Medical records of dogs and cats with intestinal foreign bodies that underwent treatment with either the orogastric retrieval technique or gastrotomy between November 2021 and July 2023 were extracted. A comparison of the short-term outcomes was performed between the techniques.
Fifty cases were enrolled with all cases having material manipulated out of the obstructive location in the intestinal tract and removed either by gastrotomy or orogastric retrieval via digital manipulation of the material into an endoscopic grasper or orogastric tube. No statistical differences were appreciated in intra-operative or post-operative complication rate, time to first meal or time to discharge. The gastrotomy procedures took 11.98 minutes longer than the endoscopic retrieval group.
Surgical removal of foreign bodies through a laparotomy-assisted orogastric retrieval technique is possible without the assistance of an endoscopy unit and offered no difference in complication rate or surgical outcomes.
本研究的目的是描述一种使用内镜抓取器和手法操作无需开腹进行肠道异物取出的手术技术，并将短期结果与通过开腹手术取出类似梗阻性肠道异物的患者进行比较。
提取2021年11月至2023年7月间接受经口胃内取出技术或开腹手术治疗的患有肠道异物的犬猫的病历。对两种技术的短期结果进行比较。
共纳入50例病例，所有病例均通过将异物从肠道梗阻部位手法操作出来，然后通过开腹手术或将异物通过手法操作放入内镜抓取器或经口胃管后经口胃内取出。术中或术后并发症发生率、首次进食时间或出院时间方面无统计学差异。开腹手术比内镜取出组多花费11.98分钟。
通过剖腹辅助经口胃内取出技术在无内镜设备辅助的情况下进行异物手术取出是可行的，且并发症发生率或手术结果无差异。
