Gastrointestinal signs and a need for nutritional management may persist long term in dogs and cats undergoing resection of the ileocolic junction: 35 cases (2008-2020).

OBJECTIVE: To evaluate the effects of ileocecocolic junction (ICJ) resection on gastrointestinal signs, biochemical parameters, and nutritional variables in dogs and cats. ANIMALS: 20 dogs and 15 cats that underwent ICJ resection between January 2008 and June 2020. PROCEDURES: Medical records of dogs and cats that underwent ICJ resection were reviewed, and clinical signs, laboratory abnormalities, and nutritional information were obtained. Additional follow-up information was obtained by contacting primary care veterinarians or owners. A subset of dogs (n = 6) and cats (2) were evaluated in the hospital via clinical examination, clinicopathologic testing, nutritional testing, and abdominal ultrasound. RESULTS: Twenty dogs and 15 cats underwent resection of the ICJ for treatment of a variety of conditions. Ten of 20 dogs (50%) and 11/15 cats (73%) were reported by their owners to have a good long-term outcome based on the lack of long-term gastrointestinal signs or the ability to control gastrointestinal signs with diet and supplements alone. Despite owner-reported good outcomes, long-term diarrhea, weight loss, and muscle loss were common. Of the 6 dogs evaluated in the hospital, 3/6 (50%) had muscle loss, 2/6 (33%) had low taurine concentrations, and 1 dog each had low cobalamin, folate, 25-hydroxyvitamin D, and ionized calcium. Neither of the 2 cats evaluated in the hospital had nutritional abnormalities identified. CLINICAL RELEVANCE: Owners should be informed of the possibility of long-term gastrointestinal clinical signs and the potential need for long-term nutritional management after ICJ resection.

Conservative management of sacroiliac luxation in 17 dogs: Radiographic changes and long-term owner follow-up.

The long-term outcome of dogs with sacroiliac (SI) luxation treated conservatively was evaluated in this study. The cranial displacement of the ilial wing relative to sacral length was measured. Long-term follow-up was conducted via owner telephone interview. Short-term radiographic changes were analyzed. Seventeen dogs with a mean radiographic follow-up time of 8 weeks ± 1.9 weeks and mean survey follow-up time of 63 months ± 51 months were included. Mean ilial cranial displacement at the time of injury was 42.1% ± 21.4% (range: 9% to 86%). At recheck examination, 7/9 had no worsening of displacement. Thirteen of 17 dogs were bearing weight within 2 weeks. Fourteen dogs (82%) had complete resolution of lameness within 3 months. Fifteen owners (88%) reported an excellent recovery, indicating no current lameness. No dogs were reported to have a poor outcome. Dogs with SI luxation can have excellent long-term outcomes when managed conservatively.

Gestion conservatrice de luxation sacro-iliaque chez 17 chiens : changements radiographiques et suivi à long terme auprès des propriétaires. Le devenir à long terme de chiens avec une luxation sacro-iliaque (SI) traités de manière conservatrice fut évalué dans cette étude. Le déplacement crânial de l'aile iliaque relativement à la longueur sacrale fut mesuré. Le suivi à long terme fut mené auprès des propriétaires via une entrevue téléphonique. Les changements radiographiques à court terme furent analysés. Dix-sept chiens avec un temps moyen de suivi radiographique de 8 semaines ± 1,9 semaine et un temps moyen de suivi de 63 mois ± 51 mois furent inclus. Le déplacement crânial moyen de l'aile iliaque au moment de la blessure était de 42,1 % ± 21,4 % (écart : 9 % à 86 %). Au moment de la réévaluation, le déplacement n'avait pas empiré chez 7/9 chiens. Treize des 17 chiens mettaient du poids sur la jambe affectée en dedans d'une période de 2 semaines. Une résolution complète de la boiterie fut notée chez quatorze chiens (82 %) à l'intérieur d'une période de 3 mois. Quinze propriétaires (88 %) ont rapporté une excellente guérison, en indiquant qu'aucune boiterie n'était observée au moment de l'entrevue. Aucun des chiens ne présenta un résultat médiocre. Un excellent résultat peut être obtenu chez les chiens avec une luxation SI lorsqu'ils sont gérés de manière conservatrice.(Traduit par Dr Serge Messier).