Felis ISSN 2398-2950

Colon: resection

Contributor(s): Andrew Gardiner, Cheryl Hedlund

Introduction

  • Resection of 90-95% of the colon followed by anastomosis comprises subtotal colectomy.

Uses

  • In the treatment of constipation/obstipation caused by megacolon Megacolon.
  • Causes of megacolon in cats include:
    • Congenital lesions.
    • Neurological dysfunction or injury.
    • Prolonged distension.
    • Idiopathic.
    • Outlet obstruction (eg pelvic canal narrowing due to fracture malunion; stricture; neoplasia).
    • Behavioral.
  • Most cases in cats are either idiopathic or arise due to pelvic fracture or sacroiliac luxation that has caused pelvic canal narrowing.

Advantages

  • Provides a surgical solution to an often intractable and recurring problem that may prompt owners to request euthanasia.

Disadvantages

  • Once more than 70% of the colon is resected loose feces/diarrhea result, though these symptoms commonly abate after a period of 1-2 months. Fecal consistency usually becomes acceptable, although the cat may defecate more often than normal.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Generally good to excellent.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • de Haan J J, Ellison G W, Bellah J R (1992) Surgical correction of idiopathic megacolon in cats. Feline Practice 20 (2), 6-11 VetMedResource.


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