Kedilerde Sindirim Sistemi Kanalında Tespit Edilen Yabancı Cisim Olgularının Değerlendirilmesi: 12 Olgu

Yıl 2024, , 76 - 83, 25.06.2024

Ali Gülaydın , Mustafa Barış Akgül

https://doi.org/10.31196/huvfd.1468487

Öz

Bu çalışmada 2020-2023 yılları arasında Siirt Üniversitesi Hayvan Sağlığı Uygulama ve Araştırma Hastanesi Cerrahi Kliniği'ne çeşitli şikayetlerle getirilen 12 kedide yabancı cisim yutma olgusunun operatif sağaltım sonuçları değerlendirildi. Radyografik muayene sonucunda hastaların 3’ünde midede, 9’unda ise bağırsakta yabancı cisim tespit edildi. Pre-operatif dönemde hastaların kan parametreleri değerlendirilerek tüm hastalara sıvı tedavisi ve profilaksi amacıyla antibakteriyel tedavi uygulandı. Hastalar genel anesteziye alınarak yabancı cisim ilgili bölgeden operatif olarak uzaklaştırıldı. Post-operatif dönemde çalışmaya dahil edilen olguların 1’i hariç (olgu no:4) tüm hastalar hospitalize edilerek uygun diyet ve post-operatif bakım uygulandı. Sonuç olarak çalışmada operasyonu gerçekleştirilen 12 olgunun 11 (%91,66)’i komplikasyon yaşanmadan 11-21. günlerde taburcu edildi. Araştırmada kedilerde yabancı cisim yutma olgularında operatif sağaltımın gerekli olduğu ve post-operatif bakımın prognozda büyük önem taşıdığı kanısına varıldı.

Anahtar Kelimeler

Gastrointestinal sistem, Kedi, Yabancı cisim

Evaluation of Cases of Foreign Body Ingestion in the Gastrointestinal Tract of Cats: 12 Cases

Öz

In this study, the operative treatment results of foreign body ingestion cases in 12 cats brought to Surgery Clinic of Siirt University Animal Health Practice and Research Hospital with various complaints between 2020 and 2023 were evaluated. As a result of radiographic examination, foreign bodies were detected in the stomachs of 3 patients and in the intestines of 9 patients. In the pre-operative period, the blood parameters of the patients were evaluated and all patients were administered fluid therapy and antibacterial treatment for prophylaxis. The foreign body was removed from the relevant area operatively under general anesthesia. In the post operative period, all patients except 1 (case no: 4) included in the study were hospitalized, and appropriate diet and post-operative care were applied. As a result, 11 (91.66%) of the 12 patients who underwent surgery in the study were discharged between post-operative 11th and 21st days without any complications. In the study, it was concluded that operative treatment was necessary in cases of foreign body ingestion in cats and that post-operative care was of great importance in prognosis.

Anahtar Kelimeler

Cat, Foreign body, Gastrointestinal system

Etik Beyan

This study is not subject to HADYEK approval as it falls under the scope of "clinical applications for diagnosis and treatment" according to Article 8, Clause 1 of the Regulation on the Principles and Procedures of Animal Experiments published in the official gazette on February 15, 2014.

Kaynakça

• Allen D, Smeak D, Schertel E, 1992: Prevalence of small intestinal dehiscence and associated clinical factors: a retrospective study of 121 dogs. J Am Anim Hosp Assoc, 28 (1), 70-76.
• Arıcan M, 2011: Veteriner Genel Radyoloji ve Kedi, Köpek için Tanısal Radyografi Atlası. Bahçivanlar Basım San A.Ş., Konya, Türkiye.
• Armbrust LJ, Biler DS, Radlinsky MG, Hoskinson JJ, 2003: Ultrasongraphic diagnosis of foreign bodeis associated with chornic draining tracts and abscesses in dogs. Vet Radiol Ultrasound, 44 (1), 66-70.
• Aronson LR, Brockman DJ, Brown DC, 2000: Gastrointestinal emergencies. Vet Clin North Am Small Anim Pract, 30, 555-579.
• Bebchuk TN, 2002: Feline gastrointestinal foreign bodies. Vet Clin North Am Small Anim Pract, 32 (4), 861-880.
• Becq A, Camus M, Dray X, 2021: Foreign body ingestion: dos and don’ts. Frontline Gastroenterol, 12 (7), 664-670.
• Binvel M, Poujol L, Peyron C, Dunie-Merigot A, Bernardin F, 2018: Endoscopic and surgical removal of oesophageal and gastric fishhook foreign bodies in 33 animals. J Small Anim Pract, 59 (1), 45-49.
• Caixeta ACF, Alves EGL, Coelho NGD, Souza ACF, Torres RCS, Nepomuceno AC, 2018: Foreign body in the gastrointestinal tract of dogs: a retrospective study. Ars Veterinaria, 34 (1), 20-24.
• Capak D, Simpraga M, Maticic D, Balli R, Janoska B, 2001: Incidence of foreign body induced ileus in dogs. Berl Munch Tierarztl Wochenschr, 114 (7-8), 290-296.
• Crinò C, Humm K, Cortellini S, 2023: Conservative management of metallic sharp-pointed straight gastric and intestinal foreign bodies in dogs and cats: 17 cases (2003-2021). J Small Anim Pract, 64 (8), 522-526.
• Demirel A, 2021: Kedi ve köpeklerde mide ve barsak yabancı cisim prevalansı. Yüksek Lisans tezi, Afyon Kocatepe Üniversitesi Sağlık Bilimleri Ensititüsü, Afyon.
• Deroy C, Corcuff JB, Billen F, Hamaide A, 2015: Removal of oesophageal foreign bodies: comparison between oesophagoscopy and oesophagotomy in 39 dogs. J Small Anim Pract, 56 (10), 613-617.
• Durmuş AS, Dabak M, Kızıl Ö, 2004: Bir alman çoban köpeğinde bağırsak obstrüksiyonu ve operatif sağaltımı. Fırat Üniversitesi Doğu Araştırmaları Dergisi, 3 (1), 65-69.
• Ellison GW 1993: Intestinal Obstruction. In: Disease Mechanisms in Small Animal Surgery, Bojrab MJ (Ed), 252-257, Lea & Febiger, Philadelphia, USA.
• Erol H, Atalan G, Alpman U, Yönez MK, Onmaz AC, 2019: Köpeklerde yabancı cisme (kulak küpesi) bağlı şekillenen mekanik ileus’un operatif sağaltım ve sonuçlarının değerlendirilmesi: 6 Olgu. Erciyes Üniv Vet Fak Derg, 16 (2), 92-97.
• Evans KL, Smeak DD, Biller DS, 1994: Gastrointestinal linear foreign bodies in 32 dogs: a retrospective evaluation and feline comparison. J Am Anim Hosp Assoc, 30 (5), 445-450.
• Finck C, D’anjou MA, Alexander K, Specchi S, Beauchhamp G, 2014: Radiographic diagnosis of mechanical obstrucion in dogs based on relative small intestinal external diameters. Vet Radiol Ultrasound, 55 (5), 472-479.
• Hayes G, 2009: Gastrointestinal foreign bodies in dogs and cats: A retrospective study of 208 cases. J Small Anim Pract, 50 (11), 576-583.
• Hobday MM, Pachtinger GE, Drobatz KJ, Syring RS, 2014: Linear versus non-linear gastrointestinal foreign bodies in 499 dogs: Clinical presentation, management and short-term outcome. J Small Anim Pract, 55 (11), 560-565.
• Kan T, Hess RS, Clarke DL, 2022: Clinical findings and patient outcomes following surgical treatment of chronic gastrointestinal foreign body obstructions in dogs and cats: 72 cases (2010-2020). Can J Vet Res, 86 (4), 311-315.
• Koenhemsi L, İskefli O, Dokuzeylül B, Gönül R, Or E, Uysal A, 2011: Bir köpekte yabancı cisme bağlı akut mide dilatasyonu teşhisinde radyolojik ve ultraonografik inceleme. Yüzüncü Yıl Üniversitesi Vet Fak Derg, 22 (3), 185-187.
• Lopez DJ, Holm SA, Korten B, Baum JI, Flanders JA, Sumner JP, 2021: Comparison of patient outcomes following enterotomy versus intestinal resection and anastomosis for treatment of intestinal foreign bodies in dogs. J Am Vet Med Assoc, 258 (12), 1378-1385.
• MacPhail C, 2022: Gastrointestinal obstruction. Clin Tech Small Anim Pract, 17 (4), 178-183.
• Maxwell EA, Dugat DR, Waltenburg M, Upchurch D, Soto-Elias P, Duffy DJ, Spector D, Petrovsky B, Payton M, 2021: Outcomes of dogs undergoing immediate or delayed surgical treatment for gastrointestinal foreign body obstruction: A retrospective study by the Society of Veterinary Soft Tissue Surgery. Vet Surg, 50 (1), 177-185.
• Mccarthy T, 2005: Veterinary Endoscopy for the Small Animal Practitioner. Saunders, St Louis, MO, USA.
• Moore AH, 2001: Removal of oesophageal foreign bodies in dogs: fluoroscopic method and outcome. J Small Anim Pract, 42 (5), 227-230.
• Papazoglou L, Rallis T, 2003: Intestinal foreign bodies in dogs and cats. Compend Contin Educ Vet, 25 (11), 830-843.
• Pennick DG, 2002: Gastrointestinal Tract. In: Small Animal Diagnostic Ultrasound, Nyland TG, Mattoon JS (Eds), 207-230, WB Saunders, Philadelphia.
• Power AM, Diamond DW, Puetthoff C, 2021: Laparotomy-Assisted transoral foreign body retrieval in small animals: 10 Cases (2018-2020). Top Companion Anim Med, 42, 100504.
• Pratt CL, Reineke EL, Drobatz KJ, 2014: Sewing needle foreign body ingestion in dogs and cats: 65 cases (2000-2012). J Am Vet Med Assoc, 245 (3), 302-308.
• Shales CJ, Warren J, Anderson DM, Baınes SJ, White RAS, 2005: Complications following full-thickness small intestinal biopsy in 66 dogs: a retrospective study. J Small Anim Pract, 46 (7), 317-321..
• Tams TR, 2003: Handbook of Small Animal Gastroenterology. 2nd ed., Saunders, St Louis, MO, USA.
• Thrall D, 2013: Textbook of Veterinary Diagnostic Radiology. 2nd ed., Saunders, St. Louis Missouri, USA.
• Tyrrell D, Beck C, 2006: Survey of the use of ultrasonography in investigating gastrointestinal foreign bodies in small animals. Vet Radiol Ultrasound, 47 (4), 404-408.
• Zatloukal J, Crha M, Lorenzova J, Husnik R, Kohout P, Necas A, 2004: The comparative advance of plain radiography in diagnosis of obstruction of the small intestine in dogs. Acta Vet Brno, 73 (1), 365-374.