{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:26:42Z","timestamp":1773030402869,"version":"3.50.1"},"reference-count":35,"publisher":"American Veterinary Medical Association (AVMA)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2021,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To quantify the relative risk of intestinal dehiscence in dogs undergoing intestinal resection and anastomosis (IRA), compared with enterotomy, for surgical management of small intestinal foreign bodies, and to evaluate the association between nasogastric tube placement for early enteral nutrition (EEN) and hospitalization time.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>211 dogs undergoing 227 surgeries for intestinal foreign body removal.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Medical records were reviewed for dogs undergoing a single-site sutured enterotomy or IRA for foreign body intestinal obstruction between May 2008 and April 2018. Multivariable logistic regression was used to quantify the association between surgical procedure and dehiscence. Multiple linear regression was used to quantify the association of nasogastric tube placement with total hospitalization time.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Dehiscence rates were 3.8% (7\/183) and 18.2% (8\/44) for enterotomy and IRA, respectively. Overall dehiscence rate for all surgeries was 6.6% (15\/227). The odds of intestinal dehiscence for IRA were 6.09 times (95% CI, 1.89 to 19.58) the odds for enterotomy. An American Society of Anesthesiologists score &gt; 3 (OR, 4.49; 95% CI, 1.43 to 14.11) and an older age (OR, 1.02 [95% CI, 1.01 to 1.02] for each 1-month increase in age) were significantly associated with greater odds of intestinal dehiscence, regardless of surgical procedure. Placement of a nasogastric tube was not associated with intestinal dehiscence or decreased total hospitalization time when controlling for the year of surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Patients undergoing IRA were at a significantly higher risk of intestinal dehiscence, compared with patients undergoing enterotomy. Although this finding should not be used to recommend enterotomy over IRA, this information may be useful in guiding owner expectations and postoperative monitoring.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.258.12.1378","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T19:00:16Z","timestamp":1622574016000},"page":"1378-1385","source":"Crossref","is-referenced-by-count":17,"title":["Comparison of patient outcomes following enterotomy versus intestinal resection and anastomosis for treatment of intestinal foreign bodies in dogs"],"prefix":"10.2460","volume":"258","author":[{"given":"Daniel J.","family":"Lopez","sequence":"first","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah A.","family":"Holm","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Korten","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared I.","family":"Baum","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Flanders","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia P.","family":"Sumner","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"R1","series-title":"Vet Clin North Am Small Anim Pract","first-page":"915","article-title":"Complications of gastrointestinal surgery in companion animals","volume":"41","author":"Ellison GW","year":"2011","unstructured":"Ellison GW. Complications of gastrointestinal surgery in companion animals. Vet Clin North Am Small Anim Pract 2011;41:915\u2013934."},{"key":"R2","series-title":"Vet Surg","first-page":"125","article-title":"Influence of preoperative septic peritonitis and anastomotic technique on the dehiscence of enterectomy sites in dogs: a retrospective review of 210 anastomoses","volume":"47","author":"Davis DJ","year":"2018","unstructured":"Davis DJ, Demianiuk RM, Musser J,  Influence of preoperative septic peritonitis and anastomotic technique on the dehiscence of enterectomy sites in dogs: a retrospective review of 210 anastomoses. Vet Surg 2018;47:125\u2013129."},{"key":"R3","series-title":"J Am Vet Med Assoc","first-page":"437","article-title":"Intra-abdominal complications following intestinal anastomoses by suture and staple techniques in dogs","volume":"253","author":"DePompeo CM","year":"2018","unstructured":"DePompeo CM, Bond L, George YE,  Intra-abdominal complications following intestinal anastomoses by suture and staple techniques in dogs. J Am Vet Med Assoc 2018;253:437\u2013443."},{"key":"R4","series-title":"Vet Surg","first-page":"100","article-title":"Frequency of dehiscence in hand-sutured and stapled intestinal anastomoses in dogs","volume":"45","author":"Duell JR","year":"2016","unstructured":"Duell JR, Thieman Mankin KM, Rochat MC,  Frequency of dehiscence in hand-sutured and stapled intestinal anastomoses in dogs. Vet Surg 2016;45:100\u2013103."},{"key":"R5","series-title":"J Am Vet Med Assoc","first-page":"569","article-title":"Factors associated with dehiscence and mortality rates following gastrointestinal surgery in dogs","volume":"255","author":"Gill SS","year":"2019","unstructured":"Gill SS, Buote NJ, Peterson NW,  Factors associated with dehiscence and mortality rates following gastrointestinal surgery in dogs. J Am Vet Med Assoc 2019;255:569\u2013573."},{"key":"R6","series-title":"J Am Vet Med Assoc","first-page":"403","article-title":"Extensive small bowel resection in dogs and cats: 20 cases (1998\u20132004)","volume":"228","author":"Gorman SC","year":"2006","unstructured":"Gorman SC, Freeman LM, Mitchell SL,  Extensive small bowel resection in dogs and cats: 20 cases (1998\u20132004). J Am Vet Med Assoc 2006;228:403\u2013407."},{"key":"R7","series-title":"J Am Anim Hosp Assoc","first-page":"254","article-title":"Evaluation of data from 35 dogs pertaining to dehiscence following intestinal resection and anastomosis","volume":"50","author":"Mouat EE","year":"2014","unstructured":"Mouat EE, Davis GJ, Drobatz KJ,  Evaluation of data from 35 dogs pertaining to dehiscence following intestinal resection and anastomosis. J Am Anim Hosp Assoc 2014;50:254\u2013263."},{"key":"R8","series-title":"J Am Vet Med Assoc","first-page":"73","article-title":"Risk factors for leakage following intestinal anastomosis in dogs and cats: 115 cases (1991\u20132000)","volume":"223","author":"Ralphs SC","year":"2003","unstructured":"Ralphs SC, Jessen CR, Lipowitz AJ. Risk factors for leakage following intestinal anastomosis in dogs and cats: 115 cases (1991\u20132000). J Am Vet Med Assoc 2003;223:73\u201377."},{"key":"R9","series-title":"Vet Surg","first-page":"91","article-title":"Risk factors for dehiscence of stapled functional end-to-end intestinal anastomoses in dogs: 53 cases (2001\u20132012)","volume":"45","author":"Snowdon KA","year":"2016","unstructured":"Snowdon KA, Smeak DD, Chiang S. Risk factors for dehiscence of stapled functional end-to-end intestinal anastomoses in dogs: 53 cases (2001\u20132012). Vet Surg 2016;45:91\u201399."},{"key":"R10","series-title":"J Am Vet Med Assoc","first-page":"695","article-title":"Intestinal incisional dehiscence rate following enterotomy for foreign body removal in 247 dogs","volume":"255","author":"Strelchik A","year":"2019","unstructured":"Strelchik A, Coleman MC, Scharf VF,  Intestinal incisional dehiscence rate following enterotomy for foreign body removal in 247 dogs. J Am Vet Med Assoc 2019;255:695\u2013699."},{"key":"R11","series-title":"J Small Anim Pract","first-page":"317","article-title":"Complications following full-thickness small intestinal biopsy in 66 dogs: a retrospective study","volume":"46","author":"Shales CJ","year":"2005","unstructured":"Shales CJ, Warren J, Anderson DM,  Complications following full-thickness small intestinal biopsy in 66 dogs: a retrospective study. J Small Anim Pract 2005;46:317\u2013321."},{"key":"R12","series-title":"J Am Vet Med Assoc","first-page":"486","article-title":"Identification of risk factors for septic peritonitis and failure to survive following gastrointestinal surgery in dogs","volume":"238","author":"Grimes JA","year":"2011","unstructured":"Grimes JA, Schmiedt CW, Cornell KK,  Identification of risk factors for septic peritonitis and failure to survive following gastrointestinal surgery in dogs. J Am Vet Med Assoc 2011;238:486\u2013494."},{"key":"R13","series-title":"J Trauma","first-page":"1520","article-title":"Inflammation and the host response to injury, a large-scale collaborative project: Patient-oriented research core\u2014standard operating procedures for clinical care VIII\u2014nutritional support of the trauma patient","volume":"65","author":"O'Keefe GE","year":"2008","unstructured":"O'Keefe GE, Shelton M, Cuschieri J,  Inflammation and the host response to injury, a large-scale collaborative project: Patient-oriented research core\u2014standard operating procedures for clinical care VIII\u2014nutritional support of the trauma patient. J Trauma 2008;65:1520\u20131528."},{"key":"R14","series-title":"Gastroenterology","first-page":"975","article-title":"Role of oral intake in maintenance of gut mass and disaccharide activity","volume":"67","author":"Levine GM","year":"1974","unstructured":"Levine GM, Deren JJ, Steiger E,  Role of oral intake in maintenance of gut mass and disaccharide activity. Gastroenterology 1974;67:975\u2013982."},{"key":"R15","series-title":"Surg Today","first-page":"225","article-title":"Early postoperative enteral nutrition is useful for recovering gastrointestinal motility and maintaining the nutritional status","volume":"39","author":"Kawasaki N","year":"2009","unstructured":"Kawasaki N, Suzuki Y, Nakayoshi T,  Early postoperative enteral nutrition is useful for recovering gastrointestinal motility and maintaining the nutritional status. Surg Today 2009;39:225\u2013230."},{"key":"R16","series-title":"JPEN J Parenter Enter Nutr","first-page":"535","article-title":"Maintenance of GI function after bowel surgery and immediate enteral full nutrition. I. Doubling the canine colorectal anastomotic bursting pressure and intestinal wound mature collagen content","volume":"4","author":"Moss G","year":"1980","unstructured":"Moss G, Greenstein A, Levy S,  Maintenance of GI function after bowel surgery and immediate enteral full nutrition. I. Doubling the canine colorectal anastomotic bursting pressure and intestinal wound mature collagen content. JPEN J Parenter Enter Nutr 1980;4:535\u2013538."},{"key":"R17","series-title":"Vet Clin North Am Small Anim Pract","first-page":"677","article-title":"The principles and practical application of enteral nutrition","volume":"28","author":"Marks SL","year":"1998","unstructured":"Marks SL. The principles and practical application of enteral nutrition. Vet Clin North Am Small Anim Pract 1998;28:677\u2013708."},{"key":"R18","series-title":"Intensive Care Med","first-page":"2018","article-title":"Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials","volume":"35","author":"Doig GS","year":"2009","unstructured":"Doig GS, Heighes PT, Simpson F,  Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med 2009;35:2018\u20132027."},{"key":"R19","series-title":"Crit Care Med","first-page":"2264","article-title":"Early enteral nutrition in acutely ill patients: a systematic review","volume":"29","author":"Marik PE","year":"2001","unstructured":"Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med 2001;29:2264\u20132270."},{"key":"R20","series-title":"J Gastrointest Surg","first-page":"569","article-title":"Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis","volume":"13","author":"Lewis SJ","year":"2009","unstructured":"Lewis SJ, Andersen HK, Thomas S. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. J Gastrointest Surg 2009;13:569\u2013575."},{"key":"R21","series-title":"Updates Surg","first-page":"105","article-title":"Program of gastrointestinal rehabilitation and early postoperative enteral nutrition: a prospective study","volume":"70","author":"Martos-Ben\u00edtez FD","year":"2018","unstructured":"Martos-Ben\u00edtez FD, Guti\u00e9rrez-Noyola A, Soto-Garc\u00eda A,  Program of gastrointestinal rehabilitation and early postoperative enteral nutrition: a prospective study. Updates Surg 2018;70:105\u2013112."},{"key":"R22","series-title":"J Vet Emerg Crit Care (San Antonio)","first-page":"453","article-title":"Early nutritional support is associated with decreased length of hospitalization in dogs with septic peritonitis: a retrospective study of 45 cases (2000\u20132009)","volume":"22","author":"Liu DT","year":"2012","unstructured":"Liu DT, Brown DC, Silverstein DC. Early nutritional support is associated with decreased length of hospitalization in dogs with septic peritonitis: a retrospective study of 45 cases (2000\u20132009). J Vet Emerg Crit Care (San Antonio) 2012;22:453\u2013459."},{"key":"R23","series-title":"J Am Anim Hosp Assoc","first-page":"90","article-title":"Evaluation of the safety of early compared to late enteral nutrition in canine septic peritonitis","volume":"53","author":"Hoffberg JE","year":"2017","unstructured":"Hoffberg JE, Koenigshof A. Evaluation of the safety of early compared to late enteral nutrition in canine septic peritonitis. J Am Anim Hosp Assoc 2017;53:90\u201395."},{"key":"R24","series-title":"Veterinary anesthesia and analgesia: the fifth edition of Lumb and Jones","first-page":"11","article-title":"Anesthetic risk and informed consent","author":"Brodbelt DV","year":"2015","unstructured":"Brodbelt DV, Flaherty D, Pettifer GR. Anesthetic risk and informed consent. In: Grimm KA, Lamont LA, eds. Veterinary anesthesia and analgesia: the fifth edition of Lumb and Jones. Hoboken, NJ: John Wiley & Sons Inc, 2015;11\u201322."},{"key":"R25","series-title":"Veterinary anesthesia and analgesia: the fifth edition of Lumb and Jones","first-page":"86","article-title":"Monitoring anesthetized patients","author":"Haskins SC","year":"2015","unstructured":"Haskins SC. Monitoring anesthetized patients. In: Grimm KA, Lamont LA, eds. Veterinary anesthesia and analgesia: the fifth edition of Lumb and Jones. Hoboken, NJ: John Wiley & Sons Inc, 2015;86\u2013113."},{"key":"R26","series-title":"Am J Surg","first-page":"309","article-title":"Techniques for intraoperative evaluation of bowel viability in mesenteric ischemia: a review","volume":"220","author":"Bryski MG","year":"2020","unstructured":"Bryski MG, Frenzel-Sulyok LG, Kaplan L,  Techniques for intraoperative evaluation of bowel viability in mesenteric ischemia: a review. Am J Surg 2020;220:309\u2013315."},{"key":"R27","series-title":"J Am Anim Hosp Assoc","first-page":"729","article-title":"End-to-end anastomosis in the dog: a comparative fluorescein dye, angiographic, and histopathologic evaluation","volume":"18","author":"Ellison GW","year":"1982","unstructured":"Ellison GW, Jokinen MC, Park RD. End-to-end anastomosis in the dog: a comparative fluorescein dye, angiographic, and histopathologic evaluation. J Am Anim Hosp Assoc 1982;18:729\u2013736."},{"key":"R28","series-title":"J Surg Res","first-page":"66","article-title":"Intraoperative determination of intestinal viability: a comparison with transserosal pulse oximetry and histopathological examination","volume":"128","author":"Erikoglu M","year":"2005","unstructured":"Erikoglu M, Kaynak A, Beyath EA,  Intraoperative determination of intestinal viability: a comparison with transserosal pulse oximetry and histopathological examination. J Surg Res 2005;128:66\u201369."},{"key":"R29","series-title":"BJU Int","first-page":"887","article-title":"The association of preoperative serum albumin level and American Society of Anesthiologists (ASA) score on early complications and survival of patients undergoing radical cystectomy for a urothelial bladder cancer","volume":"113","author":"Djaladat H","year":"2014","unstructured":"Djaladat H, Bruins HM, Miranda G,  The association of preoperative serum albumin level and American Society of Anesthiologists (ASA) score on early complications and survival of patients undergoing radical cystectomy for a urothelial bladder cancer. BJU Int 2014;113:887\u2013893."},{"key":"R30","series-title":"ANZ J Surg","first-page":"738","article-title":"American Society of Anesthesiologists classification of physical status as a predictor of wound infection","volume":"77","author":"Woodfield JC","year":"2007","unstructured":"Woodfield JC, Beshay NMY, Pettigrew RA,  American Society of Anesthesiologists classification of physical status as a predictor of wound infection. ANZ J Surg 2007;77:738\u2013741."},{"key":"R31","series-title":"Vet Surg","first-page":"542","article-title":"A prospective study of postoperative surgical site infection in dogs and cats","volume":"33","author":"Eugster S","year":"2004","unstructured":"Eugster S, Schawalder P, Gaschen F,  A prospective study of postoperative surgical site infection in dogs and cats. Vet Surg 2004;33:542\u2013550."},{"key":"R32","series-title":"Aesthet Surg J","first-page":"448","article-title":"Evaluation of the American Society of Anesthesiologists physical status classification system in risk assessment for plastic and reconstructive surgery patients","volume":"34","author":"Miller TJ","year":"2014","unstructured":"Miller TJ, Jeong HS, Davis K. Evaluation of the American Society of Anesthesiologists physical status classification system in risk assessment for plastic and reconstructive surgery patients. Aesthet Surg J 2014;34:448\u2013456."},{"key":"R33","series-title":"Am Surg","first-page":"23","article-title":"Subcutaneous suture can accelerate wound healing of lower midline incision: a randomized controlled trial","volume":"81","author":"Liang X","year":"2015","unstructured":"Liang X, Zhou H-X, Chang-e J,  Subcutaneous suture can accelerate wound healing of lower midline incision: a randomized controlled trial. Am Surg 2015;81:23\u201330."},{"key":"R34","series-title":"Biogerontology","first-page":"337","article-title":"Ageing and wound healing","volume":"3","author":"Ashcroft GS","year":"2002","unstructured":"Ashcroft GS, Mills SJ, Ashworth JJ. Ageing and wound healing. Biogerontology 2002;3:337\u2013345."},{"key":"R35","series-title":"World J Surg","first-page":"321","article-title":"Aging and wound healing","volume":"28","author":"Gosain A","year":"2004","unstructured":"Gosain A, DiPietro LA. Aging and wound healing. World J Surg 2004;28:321\u2013326."}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/258\/12\/javma.258.12.1378.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/258\/12\/javma.258.12.1378.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/258\/12\/javma.258.12.1378.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T01:22:55Z","timestamp":1696555375000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/258\/12\/javma.258.12.1378.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,15]]},"references-count":35,"journal-issue":{"issue":"12"},"URL":"https:\/\/doi.org\/10.2460\/javma.258.12.1378","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6,15]]}}}