Objective—To determine outcome in dogs and cats that underwent extensive (ie, > 50%) resection of the small intestine and identify factors associated with outcome.
Design—Retrospective case series.
Animals—13 dogs and 7 cats.
Procedure—Medical records were reviewed, and follow-up information was obtained.
Results—In all 7 cats and in 8 of the 13 dogs, extensive intestinal resection was performed because of a foreign body. Mean ± SD estimated percentage of intestine that was removed was 68 ± 14% (range, 50% to 90%). Two dogs were euthanized 3 days after surgery because of dehiscence of the surgical site and development of septic peritonitis; 1 dog died of acute respiratory distress syndrome 5 days after surgery. The remaining 10 dogs and 7 cats were discharged from the hospital, and follow-up information was available for 15 of the 17. Median survival time was 828 days, and 12 of the 15 animals for which long-term follow-up information was available had good outcomes. However, none of the factors examined, including percentage of intestine resected, were significantly associated with outcome.
Conclusions and Clinical Relevance—Most dogs and cats that underwent extensive resection of the small intestine had a good outcome. The amount of intestine resected was not associated with outcome. These data may be useful in providing prognostic information in cases of extensive small intestinal resection.
Objective—To determine the history, clinicopathologic
findings, and results of surgery for effusive-constrictive
pericarditis associated with Coccidioides
immitis infection in dogs.
Animals—17 client-owned dogs that underwent
a subtotal pericardectomy and epicardial excision.
Procedure—Hospital records from May 1999 to June
2003 were reviewed. Data collected included history,
clinicopathologic findings, treatments, and outcome.
Follow-up information was obtained via recheck
examination and by use of standardized telephone
interviews with referring veterinarians and owners.
Results—All dogs were of large breeds, and most were
male (mean age, 4.66 years). Ten dogs had no prior history
of C immitis infection, and 7 dogs had chronic infection
with C immitis. Having a chronic C immitis infection
reduced the odds of survival, compared with no previous
infection. All dogs had clinical signs of right-sided
heart failure. All dogs had serum titers (range, 1:8 to
1:256) for antibodies against C immitis prior to surgery,
and titers were not significantly associated with outcome.
Predominant echocardiographic findings were
thickened pericardium, reduced right ventricular filling,
and pleural or pericardial effusion. All dogs underwent a
subtotal pericardectomy and epicardial excision and had
fibrosing pyogranulomatous pericarditis in biopsy specimens
obtained during surgery. The perioperative mortality
rate was 23.5%, and the 2-year postdischarge survival
rate was 82%.
Conclusions and Clinical Relevance—Surgical treatment
via subtotal pericardectomy and epicardial excision
is successful at relieving right-sided heart failure
in dogs with effusive-constrictive pericarditis secondary
to C immitis infection, but long-term treatment
with antifungal agents may still be required.
(J Am Vet Med Assoc 2005;227:435–440)