Cat Intestine

Question 1

Intestinal obstruction

Answer 1

ALWAYS PALPATE

Question 2

Neoplasia

Answer 2

Lymphosarcoma, adenocarcinoma (napkin ring), and leiomyosarcoma

Question 3

Adenomatous polyps

Answer 3

Vomiting and anemia. Submucosal resection.

Question 4

FIP induced obstruction

Answer 4

Vomiting and diarrhea. FIP antigen positive. Solitary mural intestinal lesion. Thickened nodular. Firm. Mistaken for neoplasia. Pyogranulomatous.

Question 5

Megacolon

Answer 5

Mid to older cats.
Inability of smooth muscle to contract. Afferent nerve dysfunction.
Medical: lactulose and cisapride
Surgery: subtotal colectomy

Question 6

Colonic surgery

Answer 6

Segmental circulation: poor collaterals.
A lot of bacteria.
Collagen lysis exceeds synthesis and collagenase production increased.
Solid feces
Poor omental access
Prep: Soapy water and providone iodine enemas. Antibiotics

Question 7

subtotal colectomy

Answer 7

Colocolostomy or ileocolostomy. End to end or end to side. Sutured or stapled. Bowel prepped or no
Milk feces to the center. Ligate right and left colic aa and cc. Preserve cranial rectal aa and vv
Luminal disparity: more acute angle. Antimesenteric incision.
Close mesenteric rent. Wrap with omentum

Question 8

Colon closing

Answer 8

Interrupted cushing narrows 65%
Crushing pattern narrows 30%
Gambee or EEA staple (increases bursting strength)

Question 9

Perioperative care Subtotal colectomy

Answer 9

Lavage. No interperitoneal drains. Feed after 24 hours. Antibiotics 24 to 72 hours, Fever and abdominal pain- abdominocentesis

Question 10

Postoperative Subtotal colectomy

Answer 10

Depressed anorectic- 48 hours
Fever- no leukocytosis
Liquid non formed feces- 2 days to 2 weeks. 
Liquid formed 7 days to 6 weeks. 
Soft formed thereafter

Question 11

Subtotal colectomy physiology

Answer 11

Fecal water loss is normal
Increased villus height in the ileum. 
No folic acid deficiency or anemia. 
No bacterial overgrowth. 
Increased use of the litterbox
Perineal soiling