DOI
https://doi.org/10.18849/ve.v6i4.390Abstract
PICO question
In dogs with gastrointestinal foreign-body obstruction undergoing surgical correction, is the mortality rate in the perioperative period for those receiving resection and anastomosis higher, lower, or equivalent to those receiving an enterotomy?
Clinical bottom line
Category of research question
Outcome
The number and type of study designs reviewed
Four retrospective studies were reviewed
Strength of evidence
Weak
Outcomes reported
It would appear that the mortality rate for resection and anastomosis for the purpose of foreign-body removal is higher than that of enterotomies performed for the same reason
Conclusion
There is insufficient evidence directly comparing enterotomies with resection and anastomoses in foreign-body obstructions to definitively state that the mortality rate is higher among resection and anastomosis procedures
How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
References
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Strelchik, A., Coleman, M.C., Scharf, V.F., Stoneburner, R.M. & Thieman Mankin, K.M. (2019). Intestinal incisional dehiscence rate following enterotomy for foreign body removal in 247 dogs. Journal of the American Veterinary Medical Association. 255(6), 695–699. DOI: https://doi.org/10.2460/javma.255.6.695
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