Comparison of outcomes in dogs undergoing hiatal hernia repair with and without use of a gastropexy: 41 cases (2012-2022).

IF 1.7 2区农林科学 Q2 VETERINARY SCIENCES Journal of Small Animal Practice Pub Date : 2024-10-23 DOI:10.1111/jsap.13797

M Watkins, C Shales, G Thomas, M Rossanese, T Sparks, R White

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Abstract

Objectives: To determine the difference in complication rate, gastrointestinal grade and requirement for ongoing medical and/or surgical management following hiatal hernia repair in dogs with and without gastropexy.

Materials and methods: Clinical records were reviewed retrospectively for dogs that had undergone surgical hiatal hernia repair at two veterinary referral centres between April 2012 and March 2022. Pre-operative grading of gastrointestinal signs and brachycephalic obstructive airway syndrome was performed. All dogs had an oesophagopexy and phrenoplasty. Referring primary veterinary practices and clients were contacted to obtain follow-up information. Fisher's exact tests and Mann Whitney tests were used to assess pre- and intra-operative similarities between groups. Wilcoxon signed rank tests were used to determine the changes in gastrointestinal grade at short- (<6 months) and long-term (>6 months) follow-up.

Results: Forty-one dogs which underwent oesophagopexy and phrenoplasty were included. Fifteen dogs had no gastropexy performed and 26 dogs had left-sided gastropexy performed. Dogs that underwent gastropexy (n=8, 29%, 95% CI: 13 to 51%) were significantly more likely to require further surgery related to the initial surgery or persistence of gastrointestinal signs compared to dogs that had no gastropexy (n=0, 0%, 95% CI: 0 to 18%) . This difference was not significant when dogs which had further surgery to address brachycephalic obstructive airway syndrome were excluded. Gastrointestinal grade significantly improved for both groups at both short- and long-term follow-up. There was no significant difference in overall complication rate, gastrointestinal grade or requirement for further medical treatment between groups.

Clinical significance: A left-sided gastropexy is not required for successful surgical repair of hiatal hernia in dogs provided oesophagopexy and phrenoplasty are performed.

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接受食管裂孔疝修补术的狗使用和不使用胃镜的疗效比较：41 例病例（2012-2022 年）。

目的：确定犬食管裂孔疝修补术后并发症发生率、胃肠道等级以及持续药物和/或手术治疗的要求：确定有胃镜和没有胃镜的犬食道裂孔疝修补术后并发症发生率、胃肠道等级和持续药物和/或手术治疗要求的差异：回顾性审查了 2012 年 4 月至 2022 年 3 月期间在两家兽医转诊中心接受食管裂孔疝修补手术的犬只的临床记录。术前对胃肠道体征和手足阻塞性气道综合征进行了分级。所有犬只都进行了食道和膈成形术。我们联系了转诊的初级兽医诊所和客户，以获得后续信息。费雪精确检验和曼-惠特尼检验用于评估各组之间术前和术中的相似性。Wilcoxon 符号秩检验用于确定短期（6 个月）随访时胃肠道等级的变化：结果：纳入了 41 只接受食道和膈肌成形术的狗。其中 15 只狗没有进行胃镜手术，26 只狗进行了左侧胃镜手术。与没有进行胃切除术的狗（n=0，0%，95% CI：0 至 18%）相比，进行了胃切除术的狗（n=8，29%，95% CI：13 至 51%）更有可能因初次手术或胃肠道症状持续存在而需要进一步手术。如果不包括为治疗肱鼻阻塞性气道综合征而接受进一步手术的犬只，这一差异并不显著。在短期和长期随访中，两组犬的胃肠道等级均有明显改善。两组之间在总并发症发生率、胃肠道等级或进一步治疗要求方面没有明显差异：临床意义：如果进行了食道成形术和膈成形术，狗的食道裂孔疝手术修复不需要进行左侧胃切除术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Small Animal Practice 农林科学-兽医学

CiteScore

3.30

自引率

6.20%

发文量

117

审稿时长

12-24 weeks

期刊介绍： Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery. In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world. The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher. The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association

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