Changes

==Treatment==

==Treatment==

[[Fluid Therapy|Fluid therapy]] and correction of electrolyte and acid-base abnormalities should be carried out prior to surgical correction.  

[[Fluid Therapy|Fluid therapy]] and correction of electrolyte and acid-base abnormalities should be carried out prior to surgical correction.  

 

Surgery is required to manually reduce the intussusception, it may be necessary to resect and anastomose the intestine in cases where the  adhesions have formed.  This decision depends on the viability of the intestines, as determined by the colour, vascular supply and presence or absence of peristalsis.  

Surgery is required to manually reduce the intussusception, it may be necessary to resect and anastomose the intestine in cases where the  adhesions have formed.  This decision depends on the viability of the intestines, as determined by the colour, vascular supply and presence or absence of peristalsis.It is important to preserve as much of the intestine as possible to avoid [[Short Bowel Syndrome|short bowel syndrome]].

Complications include dehiscence at the site of anastomosis, [[Peritonitis - Cats and Dogs|peritonitis]], recurrence (11-20%, most common within 1-5 days post surgery), ileus, intestinal obstruction and [[Short Bowel Syndrome|short bowel syndrome]]. Recurrence can be treated with motility altering drugs or intestinal pexy or plication.  It is important to preserve as much of the intestine as possible to avoid [[Short Bowel Syndrome|short bowel syndrome]].

 

Complications include dehiscence at the site of anastomosis, [[Peritonitis - Cats and Dogs|peritonitis]], recurrence (11-20%, most common within 1-5 days post surgery), ileus, intestinal obstruction and [[Short Bowel Syndrome|short bowel syndrome]]. Recurrence can be prevented by enteroplication of the small intestine, or by a left-sided gastroplexy of the fundus in cases of gastroesophageal intussusception.  

==Prognosis==

==Prognosis==

This depends on the location, completeness and duration of the intusussception.  The prognosis is good in animals treated with early surgical intervention and aggressive supportive care.  The prognosis is poor for animals with perforated intestine and [[Peritonitis - Cats and Dogs|peritonitis]].

This depends on the location, completeness and duration of the intusussception.  The prognosis is good in animals treated with early surgical intervention and aggressive supportive care.  The prognosis is poor for animals with perforated intestine and [[Peritonitis - Cats and Dogs|peritonitis].