GI foreign body

Re: GI foreign body

Anthony Dennison — Wed, 28 Aug 2013 10:11:23 GMT

I think as long as it's just jejunum it should be fine, problems arise when the ileocaecocolic valve (section?) is removed, as you can get problems with bacterial overgrowth and long term diarrhoea.

Re: GI foreign body

Glenn Hodgson — Tue, 27 Aug 2013 23:26:27 GMT

I resected >2 meters over 2 sites, plus 1 enterotomy and a gastrotomy from a gsd. I would sleep soundly with 45cm missing.

It is now 2 years later and he is still 100% fine as far as i can see! He had dx for 2 wewks post surgery, but poss due to the peritonitis.

bad dog eating spikey plastic micky mouse massage thing......

Re: GI foreign body

Linda Filshie — Tue, 27 Aug 2013 23:21:44 GMT

Enteral nutrition is important for survival of enterocytes, and your anastomosis is either going to hold up or it isn't (and in the case of gastrotomy/enterotomy this should be less of a concern) so I would be looking to feed small, bland, easily digestible meals soon after surgery too. I think early enteral feeding is the norm in human patients post-GI surgery.

Edit to add: this is a fairly old study (and ethically ) but good illustration of the above point http://www.ncbi.nlm.nih.gov/pubmed/6780704

Re: GI foreign body

Elisabeth Knappett — Tue, 27 Aug 2013 23:15:22 GMT

Ditto - have removed similar length of SI plus gastrotomy and enterotomy into colon (colotomy?!) to remove a pair of tights - dog did fine. Started feeding quite quickly too - surgery in the morning and feeding in the evening....any thoughts on this?

Re: GI foreign body

Miriam Lodewyks — Tue, 27 Aug 2013 19:10:00 GMT

Not an expert, but fairly sure I've removed similar before and dog was fine... Provided surgical technique adequate and dog has enough reserve left after 10 days to fight off the inevitable worsening of the peritonitis.

Re: GI foreign body

Michael Woodhouse — Tue, 27 Aug 2013 19:06:25 GMT

Short Bowel Syndrome - It usually does not develop unless more than two thirds of the small intestine have been removed.

(scientific source - Wikipedia!)

Various sources suggest a dog having 3-4 meters of small intestine. Dog should be fine

Re: GI foreign body

Emily Nightingale — Tue, 27 Aug 2013 18:24:21 GMT

Also sorry for rubbish spelling and punctuation! Writing on piddly iPhone screen with bleary eyes!!