Use of an incontinent end‐on colostomy in a dog with annular rectal adenocarcinoma

Abstract

An 11-year-old, mixed-breed dog with dyschezia, tenesmus and haematochezia was presented. A rectal stricture caused by an adenocarcinoma was diagnosed. Following the failure of a rectal 'pull-through' procedure, which dehisced seven days later, an incontinent end-on colostomy was performed, allowing amputation of the colorectum with the anus and perineal skin. A two-piece device consisting of a flange and a drainable pouch was used for postoperative faecal evacuation and collection. Mild peristomal dermatitis was the only complication. Patient management was easily carried out by the owner at home, and the dog survived for four months with a satisfactory quality of life. Incontinent end-on colostomy may prove to be a useful treatment for canine annular colorectal tumours.

Evaluation of transanal endoscopic treatment of benign canine rectal neoplasia

“…Extensive rectal tumours have been radically excised, usually using pull‐through or pull‐out technique (Holt and Lucke 1985, White and Gorman 1987, Anson and others 1988, Valerius and others 1997, Danova and others 2006) or excision through a dorsal (Holt and others 1991) or ventral (Davies and Read 1990) transpubic approach. In addition, colostomy has been suggested, with mixed results, as a palliative measure for rectal adenocarcinomata (Hardie and Glison 1997, Kumagi and others 2003).…”

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

“…Furthermore, these procedures could be used in the first instance in case of transanal rectal pull‐through complications to reduce the tension at the anastomotic site, leaving colostomy as a last option. Colostomy is used for fecal diversion in the management of rectal disease in small animals . Selection of animals for colostomy depends on the primary disease (frequently as a salvage procedure), the clinical condition of the animal, animal temperament, surgeon experience, owner compliance, and financial concerns.…”

“…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 pull‐through site. To the best of the authors' knowledge, there are no similar reports in the literature; the only other end‐on colostomy reported in the veterinary literature was permanent …”

“…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 .…”

“…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 . 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 pull‐through site.…”