Ileocolic junction resection in dogs and cats: 18 cases

Abstract

There is limited veterinary literature about dogs or cats with ileocolic junction resection and its long-term follow-up. To evaluate the long-term outcome in a cohort of dogs and cats that underwent resection of the ileocolic junction without extensive (50%) small or large bowel resection. Medical records of dogs and cats that had the ileocolic junction resected were reviewed. Follow-up information was obtained either by telephone interview or e-mail correspondence with the referring veterinary surgeons. Nine dogs and nine cats were included. The most common cause of ileocolic junction resection was intussusception in dogs (5/9) and neoplasia in cats (6/9). Two dogs with ileocolic junction lymphoma died postoperatively. Only 2 of 15 animals, for which long-term follow-up information was available, had soft stools. However, three dogs with suspected chronic enteropathy required long-term treatment with hypoallergenic diets alone or in combination with medical treatment to avoid the development of diarrhoea. Four of 6 cats with ileocolic junction neoplasia were euthanised as a consequence of progressive disease. Dogs and cats undergoing ileocolic junction resection and surviving the perioperative period may have a good long-term outcome with mild or absent clinical signs but long-term medical management may be required.

Spontaneous cecal perforation in a cat diagnosed with ultrasonography

“…However, this complication is not rare in veterinary medicine. [21][22][23] Indeed, long-term gastrointestinal signs are often described after ileocecal resection. [21][22][23] This case is unusual because of the location of the spontaneous perforation in a cat.…”

“…[21][22][23] Indeed, long-term gastrointestinal signs are often described after ileocecal resection. [21][22][23] This case is unusual because of the location of the spontaneous perforation in a cat. As a rare, currently unreported disease, spontaneous perforation of the cecum should be suspected with the following ultrasonographic findings: severe cecal wall lesion with adjacent peritoneal abscess.…”

“…The prognosis of the surgery was excellent in our case, even though intermittent episodes of diarrhea are still noted. However, this complication is not rare in veterinary medicine 21–23 . Indeed, long‐term gastrointestinal signs are often described after ileocecal resection 21–23 …”

“…However, this complication is not rare in veterinary medicine 21–23 . Indeed, long‐term gastrointestinal signs are often described after ileocecal resection 21–23 …”

Transversus abdominis muscle as a gastric or intestinal on‐lay flap in two dogs and one cat

“…Enterectomy would have necessitated the removal of the ICCJ. A conservative approach preserving the ICCJ was chosen in order to minimise postoperative morbidity considering that ICCJ resection has been associated with the development of chronic diarrhoea and can necessitate long-term medical management in historical reports (Fernandez et al 2017). Enteroplication to reduce the risk of repeat intussusception can lead to complications such as intestinal obstruction or foreign body perforation (Kyles et al 1998, Applewhite et al 2001.…”