Ileocolic junction resection in dogs and cats: 18 cases

Abstract

There is limited veterinary literature about dogs or cats with ileocolic junction resection and its long-term follow-up. To evaluate the long-term outcome in a cohort of dogs and cats that underwent resection of the ileocolic junction without extensive (50%) small or large bowel resection. Medical records of dogs and cats that had the ileocolic junction resected were reviewed. Follow-up information was obtained either by telephone interview or e-mail correspondence with the referring veterinary surgeons. Nine dogs and nine cats were included. The most common cause of ileocolic junction resection was intussusception in dogs (5/9) and neoplasia in cats (6/9). Two dogs with ileocolic junction lymphoma died postoperatively. Only 2 of 15 animals, for which long-term follow-up information was available, had soft stools. However, three dogs with suspected chronic enteropathy required long-term treatment with hypoallergenic diets alone or in combination with medical treatment to avoid the development of diarrhoea. Four of 6 cats with ileocolic junction neoplasia were euthanised as a consequence of progressive disease. Dogs and cats undergoing ileocolic junction resection and surviving the perioperative period may have a good long-term outcome with mild or absent clinical signs but long-term medical management may be required.

Spontaneous cecal perforation in a cat diagnosed with ultrasonography

“…However, this complication is not rare in veterinary medicine. [21][22][23] Indeed, long-term gastrointestinal signs are often described after ileocecal resection. [21][22][23] This case is unusual because of the location of the spontaneous perforation in a cat.…”

“…However, this complication is not rare in veterinary medicine 21–23 . Indeed, long‐term gastrointestinal signs are often described after ileocecal resection 21–23 …”

Case report: Surgical management of ileal duplication cyst in a cat: a case report and review of the literature

“…The ICJ regulates intestinal transit, allowing the intestinal contents to move intermittently from the ileum into the colon to ease nutrient absorption. The ICJ also prevents retrograde reflux from the colon into the ileum due to its sphincter properties and the synchronized motility between the ICJ and adjacent intestinal segments ( 25 ). Thus, removal of the ICJ leads to a loss of retrograde reflux regulation, resulting in nutrient malabsorption and inflammation of the ileum due to colonic bacteria ( 26 ).…”

Transversus abdominis muscle as a gastric or intestinal on‐lay flap in two dogs and one cat

“…Enterectomy would have necessitated the removal of the ICCJ. A conservative approach preserving the ICCJ was chosen in order to minimise postoperative morbidity considering that ICCJ resection has been associated with the development of chronic diarrhoea and can necessitate long-term medical management in historical reports (Fernandez et al 2017). Enteroplication to reduce the risk of repeat intussusception can lead to complications such as intestinal obstruction or foreign body perforation (Kyles et al 1998, Applewhite et al 2001.…”