Clinical features and outcomes of dogs with attempted medical management for discrete gastrointestinal foreign material: 68 cases (2018-2023)
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View abstract on PubMed
Summary
This summary is machine-generated.Conservative management of canine gastrointestinal foreign bodies (GIFB) was successful in 47% of cases. Factors like presentation and foreign body type influence treatment success, making medical management a feasible option.
Area Of Science
- Veterinary Medicine
- Small Animal Surgery
- Gastroenterology
Background
- Canine gastrointestinal foreign bodies (GIFB) are common emergencies.
- Conservative management is an alternative to surgical intervention for some cases.
- Understanding factors influencing conservative management success is crucial for treatment planning.
Purpose Of The Study
- To retrospectively evaluate the clinical characteristics of canine gastrointestinal foreign bodies (GIFB).
- To identify factors associated with successful versus unsuccessful conservative management of GIFB.
- To determine the feasibility of medical management for canine GIFB.
Main Methods
- Retrospective review of 68 client-owned dogs with GIFB treated conservatively at a single institution.
- Data collected included signalment, history, physical exam findings, bloodwork, diagnostic imaging, foreign body characteristics, treatments, and outcomes.
- Success was defined as foreign body passage; failure was defined as requiring surgery, endoscopy, or euthanasia.
Main Results
- Conservative management was successful in 47% of cases.
- Resolution of gastric and small intestinal dilation was associated with successful conservative management.
- Nonlinear foreign bodies were more common in both success (96.9%) and failure (80.6%) groups, but linear foreign bodies were more prevalent in the failure group (19.4%).
- Surgery was required in 42.7% of cases, with resection and anastomosis performed for nonlinear foreign bodies.
Conclusions
- Conservative management of canine GIFB is a feasible treatment option.
- Treatment decisions should consider patient presentation, foreign body characteristics, hemodynamic stability, and diagnostic imaging findings.
- Further research may refine criteria for selecting appropriate cases for medical management.
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