Thesis
OUTCOME AND RISK FACTORS ASSOCIATED WITH CHOLECYSTOENTEROSTOMY IN DOGS AND CATS – A SOCIETY OF VETERINARY SOFT TISSUE SURGERY (SVSTS) STUDY
Washington State University
Master of Science (MS), Washington State University
07/2024
DOI:
https://doi.org/10.7273/000007089
Abstract
The objective of this study is to report perioperative and short-term outcomes associated with cholecystoenterostomy and to identify the risk factors associated with mortality in dogs and cats. Medical records of dogs and cats that underwent cholecystoenterostomy for extrahepatic biliary obstruction (EHBO) from 2001-2022 were collected from six academic institutions and one private practice. Twenty-six client-owned dogs and eighteen client-owned cats were included in the study. Twenty dogs (77%) and eleven cats (61%) were alive at discharge. Two-week follow-up was available for sixteen dogs and nine cats. All sixteen dogs and nine cats were alive. One cat was euthanized 19 days after surgery due to poor quality of life. The major cause of mortality was refractory hypotension in 5/8 (62%) cats and suspected thrombotic events in 4/7 (57%) dogs. Two dogs developed septic peritonitis – one dog died postoperatively after a revision surgery and the other dog was euthanized eight days after surgery. A shorter anesthesia time was associated with non-survivors (dogs p = 0.002, cats p < 0.001). Cats with neoplasia had a poorer prognosis than those with other causes for extrahepatic biliary tract obstruction (EHBO) (p = 0.03).
Cats have a poorer outcome after cholecystoenterostomy when compared to dogs. The major cause of mortality was refractory hypotension in cats and suspected thrombotic events in dogs. Neoplastic cause of EHBO was associated with an increased risk of mortality in cats. This study shows that cholecystoenterostomy is associated with a high mortality rate in both dogs and cats. The prognosis is poorer in cats with neoplasia. This study provides information regarding short-term prognosis after cholecystoenterostomy in dogs and cats which can be vital for client education.
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Details
- Title
- OUTCOME AND RISK FACTORS ASSOCIATED WITH CHOLECYSTOENTEROSTOMY IN DOGS AND CATS – A SOCIETY OF VETERINARY SOFT TISSUE SURGERY (SVSTS) STUDY
- Creators
- Surabhi Sharma
- Contributors
- Bonnie G. Campbell (Chair)Tina J. Owen (Committee Member)Sarah C Guess (Committee Member)Tania Perez (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- College of Veterinary Medicine
- Theses and Dissertations
- Master of Science (MS), Washington State University
- Publisher
- Washington State University
- Number of pages
- 35
- Identifiers
- 99901152337801842
- Language
- English
- Resource Type
- Thesis