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Oesophageal foreign bodies in dogs: factors affecting success of endoscopic retrieval.
MedLine Citation:
PMID:  21851744     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Oesophageal foreign bodies are common in dogs. Endoscopic removal is a viable treatment option but few studies have assessed the clinical and radiographic features that would be useful in decision-making and prognosis.Dogs (n = 44) with oesophageal foreign bodies presented to the University Veterinary Hospital were assessed. Terriers and West Highland White Terriers were significantly overrepresented (p < 0.0001) and in those breeds the foreign body was significantly (p < 0.0001) more likely to be located caudal to the heart base. The majority (88.6%) of foreign bodies were bones or bone fragments.Group 1 (n = 30) included animals where endoscopic removal was successful and Group 2 (n = 14) animals where it was unsuccessful or not attempted because of evidence of oesophageal rupture. There was no statistically significant difference in age, sex, body weight, type, location and size of foreign body, recovery rate, short-term complications and long-term outcome between the two groups. Duration of signs prior to presentation and time to spontaneous oral feeding were significantly longer (p < 0.01 in each case) in Group 2 (five days and 120 hours, respectively) compared to Group 1 (2 days and 24 hours, respectively). Mortality was 11.1%. Long-term follow-up of 29 dogs suggested oesophageal stricture formation manageable by feeding alone in seven (24.1%) cases.Terriers appear predisposed to oesophageal foreign bodies. Success of endoscopic removal is adversely affected by duration of signs prior to presentation. Surgical removal negatively influences time to recovery. Stricture formation appears to be a relatively common complication and alternate measures for its prevention should be sought.
Authors:
Florence Juvet; Manuel Pinilla; Robert E Shiel; Carmel T Mooney
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Publication Detail:
Type:  Journal Article     Date:  2010-03-01
Journal Detail:
Title:  Irish veterinary journal     Volume:  63     ISSN:  2046-0481     ISO Abbreviation:  Ir Vet J     Publication Date:  2010  
Date Detail:
Created Date:  2011-08-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0100762     Medline TA:  Ir Vet J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  163-8     Citation Subset:  -    
Affiliation:
University Veterinary Hospital, School of Agriculture, Food Science & Veterinary Medicine, University College Dublin 4. florence.juvet@ucd.ie.
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