Linear versus non‐linear gastrointestinal foreign bodies in 499 dogs: clinical presentation, management and short‐term outcome

Abstract

RESULTS: A total of 176 dogs had linear and 323 had non-linear foreign bodies. Dogs with a linear foreign body were more likely to have a history of vomiting, anorexia, lethargy and pain on abdominal palpation. They were also more likely to have the foreign body anchored in the stomach and continuing into the small intestine, experience intestinal necrosis, perforation and peritonitis, and require intestinal resection and anastamosis. The duration of hospitalisation was longer for dogs with linear foreign body (3 versus 2 days), and the cost of treatment was 10% higher. However, in both groups, 96% of dogs survived to hospital discharge.CLINICAL SIGNIFICANCE: Dogs with a linear foreign body had more severe clinical signs and gastrointestinal pathology, and an increased duration of hospitalisation and cost of care. However, overall survival rates were not different in dogs with linear and non-linear foreign bodies.

Disposable skin staplers for closure of linear gastrointestinal incisions in dogs

“…The most common indications for gastrointestinal surgery include gastrointestinal foreign bodies, neoplasia, gastric dilatation‐volvulus, and surgical biopsies . Many surgical techniques have been described for closure of gastrointestinal incisions, including different suture materials and patterns, anastomotic rings, skin staplers, and linear stapling devices .…”

Endoscopic retrieval of gastric and oesophageal foreign bodies in 52 cats

“…However, gastrointestinal surgery carries risks that do not occur with endoscopy, such as generalised peritonitis associated with wound dehiscence or the spillage of gastric contents intra-operatively (Bebchuk 2002). Furthermore, following surgery for discrete GFBs, dogs were hospitalised for a median duration of 2 days compared to 1 day in the cats that underwent endoscopy in the present study (Hobday et al 2014). Surgical risks are increased with OFB.…”

“…Furthermore, following surgery for discrete GFBs, dogs were hospitalised for a median duration of 2 days compared to 1 day in the cats that underwent endoscopy in the present study (Hobday et al . ). Surgical risks are increased with OFB.…”

“…Literature on the success and complication rates of feline gastrotomy and oesophagotomy is scarce. The reported survival rates of dogs that undergo coeliotomy for discrete foreign bodies of the gastrointestinal tract are high and range from 91 to 96% (Hayes 2009, Hobday et al 2014. However, gastrointestinal surgery carries risks that do not occur with endoscopy, such as generalised peritonitis associated with wound dehiscence or the spillage of gastric contents intra-operatively (Bebchuk 2002).…”

Retrospective evaluation of the induction of emesis with apomorphine as treatment for gastric foreign bodies in dogs (2010‐2014): 61 cases

“…1,5 Successful endoscopic retrieval of gastric foreign bodies has been reported in 63.5-90% of cases. 6,7 Gianella et al reported a 12.7% complication rate, including perforation (gastric or esophageal), esophageal stricture, esophageal diverticula, peri-esophageal abscess, pneumothorax, pleural effusion, and respiratory arrest. 6 Six percent of patients died or were euthanized in that study.…”