Conservative <i>Versus</i> Surgical Management of Gastrointestinal Linear Foreign Bodies in the Cat

Basher, Anthony W. P.; Fowler, J. David

doi:10.1111/j.1532-950x.1987.tb00925.x

Cited by 35 publications

(23 citation statements)

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“…For cats the survival rate for linear foreign bodies was 63 per cent which is lower than the 84 per cent survival rate reported by Felts and others (1984) and the 92 per cent survival reported by Basher and Fowler (1987). The duration of clinical signs was not recorded in the Felts study, and for the Basher and Fowler study the median duration of clinical signs was only two days (range 0·5 hours to 10 days).…”

Section: Discussioncontrasting

confidence: 54%

“…Gastrointestinal foreign bodies have been previously reported to be linear in 50 to 61 per cent of feline cases (Felts and others 1984, Basher and Fowler 1987, Bebchuk 2002) and 36 per cent of canine cases (Boag and others 2005). These proportions are higher than in the present study which may indicate differences in first‐opinion and referral populations or in the definition of a linear foreign body.…”

Section: Discussionmentioning

confidence: 93%

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Gastrointestinal foreign bodies in dogs and cats: a retrospective study of 208 cases

Hayes

2009

J of Small Animal Practice

133

157

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Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 93%

Gastrointestinal foreign bodies in dogs and cats: a retrospective study of 208 cases

Hayes

2009

J of Small Animal Practice

133

157

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“…Os corpos estranhos (CE) lineares podem produzir obstrução intestinal em pequenos animais por causar sérios e extensos danos ao sistema gastroinstestinal [33]. Na literatura, os CE lineares são comumente encontrados em gatos domésticos [3]. As manifestações clínicas da obstrução por CE linear vão desde inespecíficas a vômitos e dor abdominal (postura antálgica) [3,12], contudo os mesmos não foram observados na paciente no momento da suspeita de ingestão de parte da sonda.…”

Section: Discussionunclassified

“…Na literatura, os CE lineares são comumente encontrados em gatos domésticos [3]. As manifestações clínicas da obstrução por CE linear vão desde inespecíficas a vômitos e dor abdominal (postura antálgica) [3,12], contudo os mesmos não foram observados na paciente no momento da suspeita de ingestão de parte da sonda. A paciente também não apresentava hipertermia, depressão ou resíduos da sonda em cavidade oral, conforme citado por Basher et al [3] como de ocorrência em pequenos animais.…”

Section: Discussionunclassified

“…Foi recebido para atendimento uma fêmea jovem de Leopardus guttulus (gato-do-mato-pequeno), encaminhada pelo Instituto Ambiental do Paraná (IAP) após ter sido assistida, durante três dias, por um morador do município de Assis Chateaubriand/PR. Na avaliação física inicial da paciente, com idade estimada em nove semanas, observou-se apatia e notória condição de caquexia, peso de 0,846 kg e escore corporal 1,5 (1)(2)(3)(4)(5). A avaliação clínica também revelou mucosas pálidas, tempo de preenchimento capilar de 3 segundos, hipotermia (36,4ºC), desidratação de 10%, pelos sem brilho e sujos e fezes aderidas em região perineal e membros pélvicos.…”

Section: Casounclassified

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Correction of a Complication of the Use of a Nasoesophageal Feeding Tube in a Southern Tiger Cat (Leopardus guttulus)

Piccoli

Adams

et al. 2019

Acta Scientiae. Vet.

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Background: The southern tiger cat (Leopardus guttulus) is a vulnerable wild felid whose occurrence is restricted to the Atlantic Forest biome of Brazilian South and Southwest regions. Various strategies must be used to improve the conservation of species of felids, including preservation of forests and greater therapeutic support for animals in poor health condition. Enteral nutrition through a nasoesophageal tube is an option for patients in poor or critical condition; however, this procedure carries the risk of accidental ingestion of the tube. The objective of this work is to describe a conservative approach for the management of ingestion of a linear foreign body in a Leopardus guttulus patient.Case: A young female southern tiger cat was taken for veterinary treatment. The patient had an estimated age of nine weeks, 0.846 kg of body weight, and exhibited cachexia, hypothermia, severe dehydration, and apathy. During the examination, blood samples were taken, and initial treatment commenced with fluid therapy, antibiotic therapy, and anti-inflammatory therapy along with administration of analgesics and a gastric protector. Since the patient did not want to eat, it received a nasoesophageal feeding tube under mild sedation. The patient was positioned in sternal recumbency, its head was tilted up, and a no. 6 nasoesophageal tube was ventromedially inserted through the right nostril. The tube was later confirmed to be correctly positioned at the ninth intercostal space by a radiographic study. The feeding tube allowed administration of drugs and microenteral nutrition with a hypercaloric diet; this minimized handling of the patient, which preserved its wild behavior. After the seventh day of treatment, a piece of the tube was found lying at the bottom of the cage. Since ingestion of the remainder of the tube by the patient was suspected, it was taken to the diagnostic imaging division. At the ultrasonographic exam, the stomach exhibited hypermotility and was filled with a moderate amount of mucous content. The stomach wall was thin, and its stratified structure was preserved. Ultrasound imaging did not reveal any alterations suggestive of obstruction or inflammation such as free liquid, thickened wall, or loss of the stratified structure of the layers of the stomach. A hyperechoic tubular structure compatible with the feeding tube used was detected in the fundus of the stomach. After verification of the presence of the tube-derived material in the digestive system, the medical team opted for a conservative therapy consisting of administration of fibers, to increase intestinal motility. The patient was followed up daily by means of imaging exams. The patient did not exhibit signs of intestinal obstruction during the follow-up period. Two days after commencement of the conservative therapy, the remnant of the feeding tube that had been ingested by the patient was expelled along with the feces.Discussion: In spite of the accidental ingestion of the feeding tube by the patient, the use of this device was effective to provide nutritional and pharmacological support to the Leopardus guttulus cub, leading to its recovery. Managing malnutrition is fundamental for the recovery of any patient. Inappetence is alarming especially in felines, which quickly develop hepatic lipidosis during extended periods of anorexia. The conservative approach used, with the aid of serial imaging exams, was enough to treat ingestion of the linear foreign body by the patient.

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Gastrointestinal Foreign Bodies

Cornell

Koenig

2015

Small Animal Surgical Emergencies

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Conservative Versus Surgical Management of Gastrointestinal Linear Foreign Bodies in the Cat

Cited by 35 publications

References 1 publication

Gastrointestinal foreign bodies in dogs and cats: a retrospective study of 208 cases

Gastrointestinal foreign bodies in dogs and cats: a retrospective study of 208 cases

Correction of a Complication of the Use of a Nasoesophageal Feeding Tube in a Southern Tiger Cat (Leopardus guttulus)

Gastrointestinal Foreign Bodies

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