Preservation versus excision of the ileocolic junction during colectomy for megacolon: A study of 22 cats

Sweet, Daniel; Hardie, Elizabeth M.; Stone, Elizabeth

doi:10.1111/j.1748-5827.1994.tb01718.x

Cited by 21 publications

(32 citation statements)

References 5 publications

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“…Only one cat of eight, for which long-term follow-up information was available, had persistent soft stools. In a retrospective study with cats with megacolon undergoing subtotal colectomy, those cats that underwent ICJR had significantly looser stools in the long term than those cats in which the ICJ was preserved (Sweet et al 1994). However, the absence of clinical signs in the majority of cats in the present study could be attributed to the preservation of the colon.…”

Section: Discussioncontrasting

confidence: 52%

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Ileocolic junction resection in dogs and cats: 18 cases

Fernández

Seth

Murgia

et al. 2017

Veterinary Quarterly

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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.

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Section: Discussioncontrasting

confidence: 52%

“…The limited number of reports for dogs and/or cats with ICJR described in the veterinary literature are often associated with extensive small bowel resection or subtotal colectomy in cats with megacolon (Reid 1975;Yanoff et al 1992;Sweet et al 1994;Gorman et al 2006). In addition, long-term follow-up is not always available.…”

Section: Introductionmentioning

confidence: 99%

Ileocolic junction resection in dogs and cats: 18 cases

Fernández

Seth

Murgia

et al. 2017

Veterinary Quarterly

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show abstract

“…Subtotal colectomy will remove 90-95% of the colon. The ileocolic valve should be persevered if possible (Bright 1991;Sweet et al 1994). Partial colec tomy, removing only the grossly affected colon, has been described but is not recommended due to the high rate of recurrent constipation and histologic evidence that the entire colon is affected in cases of idiopathic megacolon (Fellenbaum 1978).…”

Section: Subtotal Colectomymentioning

confidence: 99%

“…Watery to mucoid stools are expected during first 3-7 weeks followed by mucoid to semisolid to formed stools by 3-6 months (Sweet et al 1994). In a study of normal cats that underwent colectomy, histology of the ileum showed increases in villus and enterocyte height, which led to adaptive changes in intestinal physiology whereby water resorption and storage capabilities increased, thus normalizing bowel function after sub total colectomy (Bertoy et al 1989).…”

Section: Post-colectomy Intestinal Adaptationmentioning

confidence: 99%