The Use of Colonic Irrigation to Control Fecal Incontinence in Dogs With Colostomies

Williams, Fred A.; Bright, Ronald M.; Daniel, Gregory B.; Hahn, Kevin A.; Patton, Steve

doi:10.1111/j.1532-950x.1999.00348.x

Cited by 21 publications

(11 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In human medicine, stenosis or dehiscence after colorectal/transanal rectal pull‐through can be treated by a colostomy that bypasses the distal gastrointestinal tract . Colostomy in veterinary medicine has rarely been described . Loop colostomy and end‐on colostomy (jejunal or colonic) are 2 procedures that have been reported in veterinary medicine for the temporary or permanent management of rectocutaneous fistula or obstructive colorectal or pelvic neoplasia .…”

Section: Introductionmentioning

confidence: 99%

“…8 Colostomy in veterinary medicine has rarely been described. [9][10][11][12][13][14] Loop colostomy and end-on colostomy (jejunal or colonic) are 2 procedures that have been reported in veterinary medicine 11,14,15 for the temporary or permanent management of rectocutaneous fistula or obstructive colorectal or pelvic neoplasia. 11,13,14 The objective of this case report was to describe clinical findings, surgical treatment, and outcome in a dog that underwent temporary end-on colostomy followed by colorectal end-to-end anastomosis for the treatment of the dehisced original transanal rectal pullthrough site.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Temporary end‐on colostomy as a treatment for anastomotic dehiscence after a transanal rectal pull‐through procedure in a dog

Cinti

Pisani

2019

Veterinary Surgery

View full text Add to dashboard Cite

Objective To describe a temporary end‐on colostomy to treat the dehiscence of a transanal rectal pull‐through in a dog. Study design Case report Animal A 7‐year‐old intact female Australian shepherd dog that was treated for a rectal adenocarcinoma with a transanal rectal pull‐through. Methods Partial dehiscence of the previous end‐to‐end colorectal anastomosis and formation of a perianal sinus tract were diagnosed 4 days after surgery. A pararectal approach was used to revise the surgery with debridement of the sinus tract, rectal wall reconstruction with single interrupted sutures, and placement of a passive drain. Dehiscence occurred 2 days later. The colon was transected cranial to the pelvic brim, and each stump was oversewn prior to salvage temporary end‐on colostomy. Postoperative care included analgesia, antibiotic therapy, and local care of the perineal/perianal area and colostomy site. After 90 days, the perineal/perianal sinus tract had healed, the colostomy was eliminated, and an end‐to‐end anastomosis of the colon was performed. Results Management of postoperative complications focused on dermatitis of the stoma and perineal/perianal area, stoma incontinence, and perineal/perianal medications of the sinus tract. One year after the final surgery, the dog had occasional episodes of fecal incontinence and a good quality of life without other complications. Conclusion Use of a temporary end‐on colostomy prior to revision surgery led to a satisfactory outcome but required long and challenging postoperative management. Clinical significance Temporary end‐on colostomy may be an option to manage dehiscence and potential recurrent stenosis after transanal rectal pull‐through in dogs.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Temporary end‐on colostomy as a treatment for anastomotic dehiscence after a transanal rectal pull‐through procedure in a dog

Cinti

Pisani

2019

Veterinary Surgery

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6][7][8] Colostomy has been infrequently described in dogs. [9][10][11][12] The additional cost and care incurred by temporary colostomy may not be acceptable to some owners and the attendant morbidity of colostomy may be substantial. 10 While Hardie et al…”

Section: Introductionmentioning

confidence: 99%

“…10 In addition, skin excoriations associated with the stoma site appear almost inevitable. [10][11][12] Furthermore, these colostomies require intensive management, including regular bag and flange changes. 11 Rectal catheter systems have been used successfully in humans with perineal excoriations or burns to manage fecal contamination.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12] Furthermore, these colostomies require intensive management, including regular bag and flange changes. 11 Rectal catheter systems have been used successfully in humans with perineal excoriations or burns to manage fecal contamination. 7,13 Although fecal soiling was not completely eliminated in all Q 2016 by American Animal Hospital Association cases, peri-anal disease activity index, including scoring of discharge and fecal soiling, significantly decreased after tube insertion in a series of 20 patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Temporary Rectal Stenting for Management of Severe Perineal Wounds in Two Dogs

Skinner

Cuddy

Coisman

et al. 2016

Journal of the American Animal Hospital Association

View full text Add to dashboard Cite

Perineal wounds in dogs present a challenge due to limited local availability of skin for closure and constant exposure to fecal contaminants. This report describes temporary rectal stenting in two dogs following severe perineal wounds. Dog 1 presented with a 4 3 4 cm full-thickness perineal slough secondary to multiple rectal perforations. A 12 mm internal diameter endotracheal tube was placed per-rectum as a temporary stent to minimize fecal contamination. The stent was removed 18 days after placement, and the perineal wound had healed at 32 days post-stent placement, when a minor rectal stricture associated with mild, intermittent tenesmus was detected. Long-term outcome was deemed good. Dog 2 presented with multiple necrotic wounds with myiasis, circumferentially surrounding the anus and extending along the tail. A 14 mm internal diameter endotracheal tube was placed per-rectum. The perineal and tail wounds were managed with surgical debridement and wet-to-dry and honey dressings prior to caudectomy and negative pressure wound therapy (NPWT). Delayed secondary wound closure and stent removal were performed on day six without complication. Long-term outcome was deemed excellent. Temporary rectal stenting may be a useful technique for fecal diversion to facilitate resolution of complex perineal injuries, including rectal perforation.

show abstract

Colectomy and Subtotal Colectomy

Smeak

Monnet

2020

Gastrointestinal Surgical Techniques in Small Animals

View full text Add to dashboard Cite

The Use of Colonic Irrigation to Control Fecal Incontinence in Dogs With Colostomies

Cited by 21 publications

References 13 publications

Temporary end‐on colostomy as a treatment for anastomotic dehiscence after a transanal rectal pull‐through procedure in a dog

Temporary end‐on colostomy as a treatment for anastomotic dehiscence after a transanal rectal pull‐through procedure in a dog

Temporary Rectal Stenting for Management of Severe Perineal Wounds in Two Dogs

Colectomy and Subtotal Colectomy

Contact Info

Product

Resources

About