Gastrointestinal Foreign Bodies

Cornell, Karen K.; Koenig, Amy

doi:10.1002/9781118487181.ch4

Cited by 5 publications

(12 citation statements)

References 39 publications

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“…The most serious complication associated with GIFB obstruction is compromised integrity of the intestinal wall leading to septic peritonitis. Discrete foreign bodies obstruct the lumen and cause local trauma to the intestinal wall 8,9 . Linear foreign bodies commonly become anchored beneath the tongue, at the pylorus, or within the small intestine, leading to intestinal plication 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Both types of foreign body alter normal intestinal motility and lead to fluid retention and subsequent distention of the lumen, altered electrolyte balance, and gastrointestinal bacterial overgrowth. Each of these factors contribute to the development of intestinal wall edema, which can lead to ischemic injury, leakage of tight junctions, and eventual necrosis of the intestinal wall 8 . Once the intestinal wall is compromised, chemical and bacterial peritonitis occur and can cause distributive shock and increased morbidity and mortality 10–12 .…”

Section: Introductionmentioning

confidence: 99%

“…Once the intestinal wall is compromised, chemical and bacterial peritonitis occur and can cause distributive shock and increased morbidity and mortality 10–12 . Furthermore, it becomes necessary to remove compromised bowel via enterectomy (EC) 8,13 . EC is a more technically demanding surgery than enterotomy (EO), which leads to longer surgical and anesthetic time, and potentially higher costs and more complications 11,14 …”

Section: Introductionmentioning

confidence: 99%

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Retrospective evaluation of gastrointestinal foreign bodies and presurgical predictors for enterectomy versus enterotomy in dogs (2013–2016): 82 cases

Hoffman

Mastrocco

Drobatz

2021

J Vet Emergen Crit Care

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Objective To evaluate preoperative diagnostics in dogs with gastrointestinal foreign body (GIFB) obstruction and to identify clinical variables associated with the performance of simple enterotomy (EO) versus enterectomy (EC). Design Retrospective case control study from October 2013 to January 2016. Setting Veterinary Teaching Hospital. Animals Eighty‐two client‐owned dogs diagnosed at the time of surgery with GIFB obstruction. Measurements and Main Results Data were collected from medical records regarding history, initial physical examination, clinicopathologic testing, diagnostic imaging, and surgical reports. Based on univariate analysis, dogs that required EC were ill (P < 0.0001) and anorexic (P = 0.0007) for a longer duration; had a higher vomiting severity score (P = 0.005); and had worse perfusion parameters (mucous membrane color [P = 0.028] and quality [P = 0.032], poorer pulse quality [P = 0.0015], relatively lower blood pressure [P = 0.0328], greater heart rates [P = 0.0011]). Dogs undergoing EC were more likely to have altered peritoneal detail on radiographs (P = 0.0014; odds ratio [OR] = 25.5; 95% confidence interval [CI]: 2.4, 275.7) and echogenic peritoneal effusion on ultrasound (P = 0.0101; OR = 12.5; 95% CI: 1.3, 120.9), compared to the EO group. Heart rate (adjusted P = 0.028; OR = 1.07; 95% CI: 1.0, 1.1) and vomiting severity score (adjusted P = 0.028; OR = 5.6; 95% CI: 1.2, 26.1) maintained significance after multiple logistic regression. Conclusions Multiple factors in the preoperative clinical evaluation were different between dogs undergoing EO versus EC for GIFB obstruction. However, many of these variables become insignificant with multiple logistic regression. The presence of an increased heart rate or increased vomiting severity score at presentation was independently associated with undergoing enterectomy. Prospective studies with greater number of animals are warranted to validate these results.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retrospective evaluation of gastrointestinal foreign bodies and presurgical predictors for enterectomy versus enterotomy in dogs (2013–2016): 82 cases

Hoffman

Mastrocco

Drobatz

2021

J Vet Emergen Crit Care

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“…Ingestion foreign body is a common case in human (Karadas et al 2016) and small animal (Prat et al 2014). The most frequently ingested foreign bodies in pet animals are magnets, latex teats, wood foreign bodies, such as skewers or ice pop sticks, corn cobs, pet toys, children's toys, and solidified wood glue, sewing needles (Prat et al 2014;Cornell & Koenig 2015). Once foreign body ingestion is diagnosed, the physician must decide whether the treatment is necessary according to the emergency of the case.…”

Section: ■ Introductionmentioning

confidence: 99%

Esophageal foreign body removal using endoscopy in cat

Siallagan

Napitu²,

Fitri

et al. 2020

ARSHI vet lett

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A 10-months-old cross long hair cat named Casper with clinical symptom of vomiting mixed with slimy cat feed was referred to Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Bogor Agricultural University to endoscopy examination and therapy. The owner believed that Casper ate a 5 cm long sewing needle a few days earlier. The history and physical examination were examined at DNA Clinic with symptoms of lack of appetite and becoming quieter and calmer. Radiogram showed the needle was in thorax area with a vertical needle penetrating the esophageal wall. Removal of the needle and observation of the esophagus area were done using endoscopy under general anesthesia. Using endoscopy, it was known that the needle was swallowed along with the sewing thread with position of all needles penetrating the esophagus wall and leaving a small amount of thread on the lumen. The needle was pulled back to the esophageal lumen by pulling the remaining thread and then both needle and the thread were pulled back out using an alligator grasping forceps that used through working channel. Therapy given after endoscopy was antibiotics and anti-emetics.

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“…Similarly, Omar (2014) reported that use of litter for bedding in enclosures of tigers in captivity caused ingestion of straw which was subsequently recovered at post mortem examination. According to several authors (Boag et al, 2005;Hayes, 2009;Hoefer and Levitan, 2013) foreign body ingestion occurs commonly in pets and the problem is on the increase (Cornell and Koenig, 2015). The problem is also now increasingly being reported in wild animals (Eckermann-Ross, 2014;Omar, 2014;Squarre et al, 2015), parrots (Hoefer and Levitan, 2013), aquatic (Mousa et al, 2014) as well as marine animals (De Majo et al, 2016;Williams et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Foreign Body Gastrotomy in an Adult Captive Cheetah, Acinonyx jubatus

Sajeni¹,

Reisinger²,

Mushonga³

et al. 2017

AJVS

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A five year-old, 45kg female captive cheetah presented with inappetence, dehydration and a guarded abdominal stance after suspected ingestion of a rubber sandal 24 hours previously. On examination, the animal had normal temperature, pulse and pressure. Abdominal palpation revealed a flatulent stomach with a compacted mass movable within. Upon admission, plain radiographs confirmed the presence of gaseous distention of the stomach around a radio-dense central mass. Exploratory laparotomy was performed to reveal normal intestines but a distended stomach. Gastrotomy was performed parallel to the greater curvature to expose pieces of a rubber sandal that were in a compacted mass within the stomach. Another rubber piece was removed from the pylorus where it was firmly lodged and impeding flow of gastric contents. Gastric and abdominal closure was successfully performed and two weeks later the animal had recovered and was in good health. Individuals owning/handling captive wild felids or other wild animals need to make sure their habitat is free of foreign objects that can possibly be ingested out of boredom or sheer curiosity. Adequate nutrition for these is also advocated to prevent pica which may also result in animals ingesting otherwise inedible or non-digestible materials.

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Gastrointestinal Foreign Bodies

Cited by 5 publications

References 39 publications

Retrospective evaluation of gastrointestinal foreign bodies and presurgical predictors for enterectomy versus enterotomy in dogs (2013–2016): 82 cases

Retrospective evaluation of gastrointestinal foreign bodies and presurgical predictors for enterectomy versus enterotomy in dogs (2013–2016): 82 cases

Esophageal foreign body removal using endoscopy in cat

Foreign Body Gastrotomy in an Adult Captive Cheetah, Acinonyx jubatus

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