Usporedba ishoda liječenja i učestalosti komplikacija nakon endoskopskog i kirurškog uklanjanja stranog tijela u jednjaku pasa

master's thesis

• Title (english): Comparison of Outcome and Frequency of Complications after Endoscopic and Surgical Removal of Oesophageal Foreign Body in Dogs
• Author: Andrea Martinović
• Mentor: Dražen Vnuk (mentor)
• Mentor: Andrija Musulin (mentor)
• Committee member: Dražen Matičić (predsjednik povjerenstva)
• Committee member: Andrija Musulin (član povjerenstva)
• Committee member: Dražen Vnuk (član povjerenstva)
• Granter: University of Zagreb; Faculty of Veterinary Medicine; (Surgery, Orthopaedics and Ophtalmology Clinic); Zagreb
• Defense date and country: 2016-10-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Veterinary Medicine

Abstract

Strana tijela u jednjaku pasa česta su pojava, a mogu uzorkovati djelomičnu ili potpunu opstrukciju jednjaka. Ovim radom obuhvaćeno je 103 psa koji su zaprimljeni na Kliniku za kirurgiju, ortopediju i oftalmologiju Veterinarskog fakulteta Sveučilišta u Zagrebu s dijagnozom stranog tijela u jednjaku. Strano tijelo uspješno je uklonjeno endoskopski u 59 pasa, dok je u njih 44 uklonjeno kirurškim zahvatom– ezofagotomijom. Podatci o psima kojima je dijagnosticirano strano tijelo u jednjaku, skupljeni od 2007.-2016. godine iz arhiva klinike, analizirani su i statistički obrađeni. Dobiveni rezultati uspoređeni su sa do sada objavljenom literaturom. Strana tijela u jednjaku mogu uzrokovati rane komplikacije kao što su upala sluznice jednjaka, perforacija jednjaka, pneumotoraks, upalu medijastinuma i perforaciju aorte. Kasnije komplikacije koje se razvijaju uključuju strikturu jednjaka, formiranje divertikula i bronho-ezofagealnu fistulu. Na temelju rezultata, može se zaključiti da ovo istraživanje potvrđuje da su komplikacije nakon endoskopskog i kirurškog uklanjanja stranog tijela u jednjaku česta pojava. Teže komplikacije javljaju se ako je strano tijelo u jednjaku stajalo duže vremena, a komplikacije se javljaju neovisno o metodi koja je primjenjena. U slučajevima kada strano tijelo nije moguće endoskopski ukloniti ili je endoskopsko uklanjanje opasno budući da možemo izazvati iatrogeno oštećenje stijenke jednjaka, ezofagotomija je metoda izbora koja daje vrlo dobre rezultate. Ovi rezultati će koristiti u budućim istraživanjima stranog tijela u jednjaku pasa, a doprinjeti će dijagnostici, liječenju, smanjenju postoperacijskih komplikacija, te poboljšanju njihovog rješavanja.

Abstract (english)

Oesophageal foreign bodies are common in dogs and may cause partial or complete oesophageal obstruction. The oesophageal foreign bodies were diagnosed in 103 dogs, dogs were presented to Clinic for Surgery, orthopedics and ophthalmology at University of Zagreb and dogs were included in this study. Successful endoscopic removal was possible in 59 dogs, and in 44 dogs oesophageal foreign body was removed by oesophagotomy. Data about the dogs diagnosed with oesophageal foreign body, collected from the 2007 - 2016, has been analyzed and statistically processed. The results were compared with the previously published studies. The oesophageal foreign bodies may cause early complications such as oesophagitis, oesophageal perforation, pneumothorax, mediastinitis and aortic perforation. Furthermore, delayed complications may develop including oesophageal stricture or diverticulum formation and broncho-oesophageal fistulas. Based on the results, in the end we can conclude that this study confirms that the complications of endoscopic and surgical removal of a oesophageal foreign body are common. Serious complications occur if the foreign body remains in the esophagus for a longer period of time, complications can occur regardless of the method applied, but incidence is lower with endoscopic removal of foreign body. In cases in which endoscopic removal is unsuccessful or may lead to further iatrogenic oesophageal damage, oesophagotomy is an effective anad valuable method and can be performed with good outcomes. These results will be used in future studies of oesopheal foreign body in dogs, and will contribute to the diagnosis, treatment, reducing postoperative complications and improving their resolution.

• Keywords: psi; strano tijelo u jednjaku; komplikacije
• Keywords (english): dogs; oesophageal foreign body; complications
• Language: croatian
• URN:NBN: urn:nbn:hr:178:212099
• Study programme: Title: Veterinary Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica veterinarske medicine (doktor/doktorica veterinarske medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-07-25 06:15:33