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It's an intestinal foreign body, now what? Tips for approaching gastrointestinal surgery with confidence

  • VET WEBINAR
  • It's an intestinal foreign body, now what? Tips for approaching gastrointestinal surgery with confidence
Lädt!
Which of the following is CORRECT regarding the most common anchor points for canine and feline linear foreign bodies?
Canine: base of tongue; feline: pylorus
Canine: duodenum; feline: base of tongue
Canine: pylorus; feline: base of tongue
Canine: pylorus; feline: ileocaecocolic junction
 
Intestinal perforation due to linear foreign body obstruction usually occurs at which location?
Pylorus
Antimesenteric border of small intestine
Mesenteric border of small intestine
Caudal duodenal flexure
 
Which of the following patient factors has NOT been associated with an increased risk of enterotomy dehiscence in small animal patients?
Serum albumin ≤ 25 g/L
Patient older than 8 years of age
Intraoperative mean arterial blood pressure < 60mmHg
Preoperative septic peritonitis
 
What is the approximate mortality rate for patients who develop septic peritonitis following intestinal dehiscence?
10%
25%
50%
75%
 
Which of the following suture choices is MOST APPROPRIATE for closing an enterotomy in the small intestine of a 35kg Labrador Retriever?
4-0 PDS, RB-1 needle
3-0 PDS, CT-1 needle
4-0 vicryl, SH-1 needle
4-0 PDS, FS-1 reverse cutting needle
 
Which layer of the gastrointestinal tract confers MOST of the tensile strength (i.e. the ‘holding layer’)?
Mucosa
Submucosa
Muscularis
Serosa
 
How soon after intestinal surgery should enteral nutrition be started in small animal patients?
6-12 hours
1-2 days
3-5 days
Once the patient starts eating voluntarily
 
Which of the following describes the most appropriate location of a gastrotomy incision to remove a gastric foreign body?
Dorsal surface, midway between greater and lesser curvatures.
At the pylorus.
Along the greater curvature.
Ventral surface, midway between greater and lesser curvatures.
 
In a patient with septic peritonitis, what is the recommended volume of sterile isotonic fluids required to lavage the abdomen prior to abdominal closure?
250-500mL
200-300mL per kg bodyweight
1-2L
1-2L per kg bodyweight
 
During the “lag phase” of intestinal healing, 2-5 days after surgery, how much of the original wound tensile strength is lost?
14%
24%
44%
64%