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

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 t...

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Autores principales:	Lavinia Economu, Yu‐mei Chang, Simon L. Priestnall, Aarti Kathrani
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	canine intestinal malnutrition survival Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/9bb12b846102421d8f67e5d716125644
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spelling	oai:doaj.org-article:9bb12b846102421d8f67e5d7161256442021-11-30T17:01:03ZThe effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy1939-16760891-664010.1111/jvim.16125https://doaj.org/article/9bb12b846102421d8f67e5d7161256442021-05-01T00:00:00Zhttps://doi.org/10.1111/jvim.16125https://doaj.org/toc/0891-6640https://doaj.org/toc/1939-1676Abstract 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.Lavinia EconomuYu‐mei ChangSimon L. PriestnallAarti KathraniWileyarticlecanineintestinalmalnutritionsurvivalVeterinary medicineSF600-1100ENJournal of Veterinary Internal Medicine, Vol 35, Iss 3, Pp 1297-1305 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	canine intestinal malnutrition survival Veterinary medicine SF600-1100
spellingShingle	canine intestinal malnutrition survival Veterinary medicine SF600-1100 Lavinia Economu Yu‐mei Chang Simon L. Priestnall Aarti Kathrani The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy
description	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.
format	article
author	Lavinia Economu Yu‐mei Chang Simon L. Priestnall Aarti Kathrani
author_facet	Lavinia Economu Yu‐mei Chang Simon L. Priestnall Aarti Kathrani
author_sort	Lavinia Economu
title	The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy
title_short	The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy
title_full	The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy
title_fullStr	The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy
title_full_unstemmed	The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy
title_sort	effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/9bb12b846102421d8f67e5d716125644
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The effect of assisted enteral feeding on treatment outcome in dogs with inflammatory protein‐losing enteropathy

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