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The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein-losing enteropathy

Economu, L; Chang, YM; Priestnall, SL; Kathrani, A

Authors

L Economu

YM Chang

SL Priestnall

A Kathrani



Abstract

Background The effect of assisted enteral feeding on treatment outcome in dogs with protein-losing enteropathy (PLE) is unknown. Objectives To determine if dogs with inflammatory PLE that had an enteral feeding tube placed had better outcome vs dogs with inflammatory PLE without a feeding tube. Animals Fifty-seven dogs with inflammatory PLE. Methods A retrospective study at a UK referral hospital identified dogs with inflammatory PLE using a standard diagnostic criterion. Positive outcome was defined as survival greater than 6 months or death unrelated to PLE and negative outcome as death related to PLE within 6 months of diagnosis. Several variables were assessed to identify factors for positive outcome using logistic regression. Results Thirty-five (61%) and 22 (39%) dogs had a positive and negative outcome at 6 months, respectively. Of the 21 dogs that had a feeding tube placed within 5 days of gastrointestinal biopsy, 16 (76%) had a positive outcome and 5 (24%) had a negative outcome. Dogs treated with dietary treatment alone (P = .002) and dogs with an enteral feeding tube (P = .006) were significantly associated with a positive outcome. When stratified by treatment, assisted enteral feeding was significantly associated with a positive outcome in dogs treated with concurrent immunosuppressive treatment (P = .006), but there was insufficient data to evaluate dogs treated with dietary treatment alone. Conclusions and Clinical Importance Assisted enteral feeding in dogs with inflammatory PLE could be associated with improved treatment outcome, especially in those receiving immunosuppressive treatment, and should be considered in the treatment plan of these dogs.

Citation

Economu, L., Chang, Y., Priestnall, S., & Kathrani, A. (2021). The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein-losing enteropathy. Journal of Veterinary Internal Medicine, 35(3), 1297-1305. https://doi.org/10.1111/jvim.16125

Journal Article Type Article
Acceptance Date Mar 31, 2021
Publication Date 2021
Deposit Date Nov 22, 2021
Publicly Available Date Mar 29, 2024
Print ISSN 0891-6640
Publisher Wiley Open Access
Peer Reviewed Peer Reviewed
Volume 35
Issue 3
Pages 1297-1305
DOI https://doi.org/10.1111/jvim.16125
Keywords canine; intestinal; malnutrition; survival
Public URL https://rvc-repository.worktribe.com/output/1552595

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