Large Intestine Surgery- Exam 1

Question 1

What supplies the majority of the blood supply to the Large Intestine?

Answer 1

Cranial mesenteric artery
- ileocolic
- Right and Middle Colic
Caudal mesenteric artery
- Left colic, Cranial rectal

Question 2

Colotomy

Answer 2

Incision into the colonic lumen

Question 3

Colectomy

Answer 3

Partial or complete resection of the colon

Question 4

Colopexy

Answer 4

surgical fixation of the colon

Question 5

Colostomy

Answer 5

Creation of an artificial opening into the colonic lumen

Question 6

What is the medical treatment of megacolon?

Answer 6

Evacuate colon, meds, enemas, digital evacuation

• Antibiotics
• Osmotic laxatives
• Prokinetic drugs

Question 7

What are the surgical methods of treatment for a Megacolon?

Answer 7

• Removal of entire colon except short segment needed to re-establish intestinal continuity
• Subtotal colectomy
  Ileocolic anastomosis
  Colocolic anastamosis

Question 8

Tephlectomy

Answer 8

Removal of cecum

Question 9

What are indications for a colopexy

Answer 9

chronic rectal prolapse

Recurrent perineal hernia

Question 10

What is the term for the removal of an anal sac

Answer 10

anal sacculectomy

Question 11

What is medical management of perianal fistula

Answer 11

cyclosporine

Question 12

What is the best route for anal sacculectomy if you suspect a neoplasia

Answer 12

Closed approach- there is less risk of contamination

Question 13

What is the most common anal neoplasia

Answer 13

perianal adenoma =80%

Question 14

Anal sac adenocarcinoma

Answer 14

Common in older dogs, and had a high metastatic rate

Hypercalcemia of malignancy is a secondary symptom

Question 15

what is the term for lack of anus

Answer 15

Atresia ani