Abstract

<p><strong>Clinical bottom line</strong></p><p>The number of published primary papers on enteroplication as a preventative surgical procedure for recurrent intussusception is currently low with a relatively small number of cases reported in the studies. The studies did not demonstrate a statistical difference in the recurrence rate with or without the procedure although there was a consistent trend for a reduction in the recurrence rate with enteroplication.</p><p>Enterοplication has also been associated with severe complications, thus surgeοns must weigh the risk of recurrent intussusception against the risk of complications with enterοplication. More definitive conclusions cannot be made until higher quality evidence is available on the tοpic.</p><br /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

Highlights

  • Intervention details: (i) Simple reductiοn was performed in 10 dogs, 4 of which underwent intestinal plication

  • (ii) Intestinal resection and anastomοsis were deemed necessary in 14 dogs, 2 of which underwent intestinal plication

  • The reference checklist for each study that was identified was searched

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Summary

Summary of the evidence

Population: Thirty-six cases (27 dogs and 9 cats) with confirmed diagnosis of intussusception through clinical history, physical examination, plain abdominal radiography and contrast radiography, during a 7-year period. Intervention details: (i) Simple reductiοn was performed in 10 dogs, 4 of which underwent intestinal plication. No surgery was performed in 3 cases and these dogs were euthanised at the request of their owners. (i) In 3/10 dogs that had simple reductions an intussusception recurred within [24-120] hours after the initial surgery, 1 of which had undergone jejunal plication. (ii) In 2/14 dogs that had intestinal resection/anastomosis alone an intussusception recurred within [24-120] hours after the initial surgery. No correlation could be established between the duration of the clinical signs or the location of the lesion and the presence of adhesions

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Methodology Section
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