Surgical approach in intestinal obstructive conditions caused by linear foreign body: a literature review
Resumo
The cases of ingestion of foreign bodies (FBs) are routine in the veterinary medicine, being able to evolve for pictures of urgency or emergency with need of surgical intervention, possessing clinical signs as emesis, apathy or restlessness, anorexia, diarrhea, pain to the palpation and shock. ECs are objects that cannot be digested, and may cause total or partial obstruction and evolve to death, and in most cases, are puppy patients of the breeds Dobermann, Pincher, Cocker Spaniel, and Rottweiler. When linear, they usually involve a loop, being free or anchored at some point, and may cause laceration of the mucosa and local or generalized peritonitis. The present study aimed to perform a literature review on linear foreign body obstruction in companion animals and to approach the surgical technique for correction of the condition. After the anamnesis, the patient should be taken to imaging exams such as ultrasonography and/or radiography, and endoscopy is required for visualization and removal of the FB, if the animal has ingested the FB at most 3 to 4 hours ago, ending in exploratory laparotomy, when it is not possible to establish the diagnosis. In case of confirmation and intestinal obstruction, an enterotomy is performed for removal. The prognosis is favorable if the surgical intervention occurs within a maximum of 14 hours, as well as in the absence of ischemia and necrosis of large intestinal portions and/or perforation and consequent septic peritonitis, which lead to an unfavorable prognosis for the reserved area.
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Copyright (c) 2023 Bruna Cardoso Lemes, Gabriel Destefani De Sousa, Jaqueline Aparecida Sousa Pereira, Matheus Felipe Figueiredo Ferreira, Rafaela De Oliveira Cunha, Gustavo Dos Reis Gonçalves, Hebert Ferreira Dos Santos, Rafaela Cristina Cardoso Costa, Cassiano Lemos Goularte##plugins.themes.gdThemes.article.Authors##
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Bruna Cardoso Lemes
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Gabriel Destefani De Sousa
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Jaqueline Aparecida Sousa Pereira
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Matheus Felipe Figueiredo Ferreira
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Rafaela De Oliveira Cunha
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Gustavo Dos Reis Gonçalves
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Hebert Ferreira Dos Santos
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Rafaela Cristina Cardoso Costa
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Cassiano Lemos Goularte