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Cola et al: Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats
Veterinary Surgery 7, 2024

🔍 Key Findings

  • LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
  • Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
  • LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
  • Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
  • Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
  • No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
  • Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
  • Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

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← Articles

Cola et al: Laparotomy‐assisted endoscopic removal of gastrointestinal foreign bodies: Evaluation of this technique and postoperative recovery in dogs and cats
Veterinary Surgery 7, 2024

🔍 Key Findings

  • LAER was effective (partial or complete) in 35/40 cases, regardless of FB location or type.
  • Intestinal wall damage significantly increased the likelihood of conversion to enterotomy (p = .043).
  • LAER led to significantly shorter hospitalization (median 48 h vs 72 h; p = .006).
  • Patients in the LAER group required less postoperative analgesia (median 36 h vs 48 h; p < .001).
  • Faster return to spontaneous feeding was seen in LAER group (median 24 h vs 36 h; p = .012).
  • No significant difference in complication rate or postoperative ileus between LAER and enterotomy groups.
  • Sharp, linear, or multiple FBs did not significantly affect LAER effectiveness.
  • Conversion to surgery was required in 5/40 LAER attempts, mostly due to immovable FBs or intestinal damage.

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Multiple Choice Questions on this study

In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the primary factor associated with the need to convert to enterotomy?

A. Intestinal FB localization
B. Multiple FBs
C. Intestinal wall damage
D. Sharp FBs
E. Operator experience

Answer: Intestinal wall damage

Explanation: Intestinal wall damage was significantly associated with surgical conversion (p = .043).
In Cola 2024 et al., on laparotomy-assisted endoscopy, what was the overall success rate of LAER in avoiding full conversion to enterotomy or gastrotomy?

A. 20%
B. 40%
C. 60%
D. 88%
E. 100%

Answer: 88%

Explanation: LAER was completely or partially effective in 35/40 cases (88%).
In Cola 2024 et al., on laparotomy-assisted endoscopy, how did LAER affect the need for postoperative analgesia compared to traditional enterotomy?

A. Increased analgesia was required
B. No difference in analgesia was found
C. LAER required more days of analgesia
D. LAER reduced analgesia duration
E. Analgesia duration data were not reported

Answer: LAER reduced analgesia duration

Explanation: LAER patients had a shorter duration of analgesia (median 36 h vs 48 h, p < .001).
In Cola 2024 et al., on laparotomy-assisted endoscopy, which of the following foreign body characteristics significantly affected the success of LAER?

A. Sharpness of object
B. Number of foreign bodies
C. FB location (duodenum vs jejunum)
D. None of the above
E. Size of foreign body

Answer: None of the above

Explanation: Neither sharpness, number, nor location significantly affected LAER success.
In Cola 2024 et al., on laparotomy-assisted endoscopy, which outcome was significantly improved in the LAER group compared to the enterotomy group?

A. Postoperative complication rate
B. Procedure duration
C. Need for reoperation
D. Length of hospital stay
E. Need for feeding tube

Answer: Length of hospital stay

Explanation: The LAER group had a shorter hospital stay (median 48 h vs 72 h, p = .006).

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