ISSN 2398-2950      

Enterotomy

ffelis

Introduction

  • Common surgical procedure to:
    • Remove intestinal foreign bodies.
    • To obtain full thickness intestinal biopsies for histopathological examination.

Uses

Advantages

  • Complete removal of intestinal FBs.
  • Ability to grossly examine intestines.
  • Ability to assess viability or integrity of damaged intestinal walls.
    Full thickness intestinal biopsies have a higher diagnostic yield potential compared to endoscopic intestinal biopsies.

Disadvantages

  • Increased risk due to invasive surgical procedure.
  • Anesthetic risks.
  • Post-op complications due to dehiscence of enterotomy site leading to peritonitis Peritonitis or death (mortality of around 10% reported in one study).

Requirements

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Preparation

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Procedure

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Aftercare

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Shales C J, Warren J, Anderson D M et al (2005) Complications following full-thickness small intestinal biopsy in 66 dogs: a retrospective study. JSAP 46 (7), 317-321 PubMed.
  • Coolman B R, Ehrhart N, Marretta S M (2000) Use of Skin Staples for Rapid Closure of Gastrointestinal Incisions in the Treatment of Canine Linear Foreign Bodies. JAAHA 36 (6), 542-547 PubMed.
  • Weisman D L, Smeak D D, Birchard S J et al (1999) Comparison of a Continuous Suture Pattern with a Simple Interrupted Suture Pattern for Enteric Closure in Dogs and Cats: 83 Cases (1991-1997). JAVMA 214 (10), 1507-1510 PubMed.

Other sources of information

  • Ellison G W (1990) Enterotomy. In: Current techniques in Small Animal Surgery. 4th edn. Eds M J Bojrab, G W Ellison and B Slocum. Baltimore, Williams and Wilkins, pp 245-248.

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