Risk Factors for Dehiscence of Stapled Functional End‐to‐End Intestinal Anastomoses in Dogs: 53 Cases (2001–2012)

Abstract

IBD, location of anastomosis, and intraoperative hypotension are risk factors for intestinal anastomotic dehiscence after SFEEA in dogs. Previously suggested risk factors (low serum albumin concentration, preoperative septic peritonitis, and intestinal foreign body) were not confirmed in this study.

The use of disposable skin staples for intestinal resection and anastomosis in 63 dogs: 2000 to 2014

“…, Snowdon et al . ). The mortality rate of patients that developed dehiscence was 66·7% (2/3) compared to 10% (6/60) of patients that did not develop dehiscence.…”

“…, Snowdon et al . ). If cytological examination had not been performed before surgery or evidence of peritonitis was not recorded in the surgical record, dogs were presumed not to have had peritonitis before surgery.…”

“…, Snowdon et al . ). Previously reported mortality rates after gastrointestinal surgery in dogs range from 0 to 28% (Allen et al .…”

“…, Snowdon et al . ). The largest retrospective study to date on intestinal anastomosis in dogs, which included both stapled and hand‐sutured anastomosis, reported dehiscence and mortality rates of 14 and 12%, respectively (Duell et al .…”

Technique‐associated outcomes in horses following large colon resection

“…Subsequent mortality rates are more than 3 times greater in human patients with colonic anastomotic leakage, than those without . A case fatality rate of 83% has been reported in dogs following anastomotic dehiscence, which occurred in 11% of cases undergoing stapled functional end‐to‐end anastomosis and was more likely to occur in anastomoses of the large intestine …”