Buzağılarda İntestinal Atresia’larda Klinik ve Operatif Yaklaşımlar

Year 2016, Volume: 9 Issue: 3, 200 - 210, 01.09.2016

Berk Alp Göksel Zülfükar Kadir Sarıtaş

Abstract

2005-2014 yılları arasında kliniğimize kabul edilen 43 buzağıda intestinal atresia’lar gözlenmiş ve çalışmaya dahil edilen olguların preoperatif, intraoperatif ve postoperatif bulguları değerlendirilmiştir. Atresia ani gözlenen 27 olgunun 16 sının (%59.25) erkek, 11'inin (%40,74) dişi olduğu; tüm atresia’lar içinde % 62.79 oranında gözlendiği belirlenmiştir. Değerlendirmeye alınan buzağılar içinde 11 olguda (% 25.58) atresia koli gözlenmiş, 3 olguda (% 6.97) atresia ani et rekti; 2 olguda da ( % 4.65) atresia ani et rektovaginal fistül belirlenmiştir. Atresia ani et rekti gözlenen 3 olgudan 1'inin simental, 1'inin yerli-melez, 1 olgunun da Montafon ırkı olduğu belirlenmiştir. Atresia ani et rektovaginal fistül gözlenen 2 olgudan 1'i Simental, diğeri ise yerli-melez olduğu kayıtlara geçmiştir. Atresia koli olgularından 6 'sı Holstein, 3'ü Simental, 1'i yerli-melez ve 1'inin de Montafon ırkı buzağı olduğu saptanmıştır. İntestinal atresia gözlenen 43 buzağı içindeki 27 atresia ani, 3 atresia ani et rekti ve 2 atresia ani et rektovaginal fistül belirlenen olgulara operatif girişim yapılmış ve tümü hayatta kalmıştır. Atresia koli gözlenen 11 olgudan 2’si hayatta kalmış ve diğerleri postoperatif kısa peryotta ölmüştür. Sonuç olarak, intestinal atresia’lar içinde atresia koli olguları hariç diğer atresia’ların operatif girişimle yaşatılabildikleri, İntestinal atresia’ların erken tanısının operatif sağaltımın başarısını arttıracağı sonucuna varıldı.

Keywords

Buzağı, Cerrahi Sağaltım, İntestinal Atresia

Clinical and Operative Approach of Intestinal Atresia in Calves

Abstract

The study cases were 43 calves accepted to our clinics between 2005-2014 evaluated for preoperative,operative and postoperative results of intestinal atresias. The atresia ani cases (n=27) were found to consists of males (n=16,%59.25) and females (n=11, %40,74) and overall rate over other type of atresias was % 62.79. In 11 cases (% 25.58) Atresia coli, 3 cases (% 6.97) were found to have Atresia ani et recti; 2 cases ( % 4.65) were found to have Atresia ani et rectovaginal fistula. The cases of Atresia ani consisted of Holstein (n=19), Simental (n=7) and a mixed breed (n=1) calves. The Atresia coli cases were consisted of n=6 Holstein, n=3 Simental, n=1 local – mixed breed and n=1 Montafon calves. The selected 27 cases of atresia ani, 3 atresia ani et recti and 2 atresia ani et rectovaginal fistula cases over 43 calves were operated and survived.The Atresia coli group of 11 cases were operated but only 2 of them survived, others were lost in early postoperative period. In results, except atresia coli cases, rest of the intestinal atresia patients were able to survive after operative intervention, Early prognosis was found to be crucial for the success of operative treatment in intestinal atresias.

Keywords

Calves, Surgical Treatment, Intestinal Atresia

References

• Al-Ani FK, Khamas WA, Al-Qudah KM, Al-Rawashdeh O. Occurrence of congenital anomalies in shami breed goats: 211 cases invastigated in 19 herds. Small Rumin Res. 1998;28:225-232.
• Alkan F, Koç Y, Ceylan C. The surgical repair of calves with atresia coli. Indian Vet J. 2002; 79:841-843.
• Alkan I, Ağaoğlu ZT, Gençcelep M, Altuğ ME. Melez buzağıda megasekum, atresiacoli, parsiyel kolon agenezisi ve megakolon olgusu. Veteriner Cerrahi Dergisi. 1997; 3 (2): 63-66.
• Angus K. Congenital malformations in sheep. Inparct,January. 1992; 33-35.
• Aslan L, Karasu A, Gençcelep M, Bakır B, Alkan İ. Ruminantlarda konjenital anorektal anomali olgularının değerlendirilmesi. Y.Y.Ü. Vet. Fak. Derg.2009; 20(1): 31-36
• Atalan G, Özaydın İ, Kılıç E, Cihan M, Kamiloğlu A. Buzağılarda intestinal atresia olguları ve operatif sağaltımları (54 olgu). KAÜ. Vet. Fak. Derg. 2003; 9(1): 113-118
• Aytuğ CN, Alaçam E, Görgül S. Sığır Hastalıkları.,Teknogarafik Matbaası. 1989.
• İstanbul. Aytuğ CN, Görgül S, Tuncer DŞ, Alaçam E, Gökçen H, Yılmaz K. Sığır Hastalıkları. Tümvet, 2. Baskı, 1991.
• İstanbul. Belge A, Gönenci R, Biricik HS, Ormancı S. Buzağılarda doğmasal anomali olguları. YYÜ Vet. Fak. Derg. 2000; 11 (2): 23-26.
• Bellows RA, Peterson, DJ, Burfening PJ, Phelps DA. Occurence of neonatal and postnatal mortality in range beef cattle. II. Factors contributing to calf death, Theriogenology, 1987; 28, 5: 573-587.
• Blowey RW, Weaver AD. Congenital disorders. In: Colour Atlas of Diseases and Disorders in cattle, 1-9, Mosby,2003.
• Edinburgh. Carraro DB, Dart AJ, Hudson NP, Dart CM, Hodgson DR. Surgical correction of anorectal atresia and rectovaginal fistula in an alpacacria. Aust Vet. J,1996; 74(5): 352-354.
• Cho DY, Taylor HW. Blindand atresia coli in two foals. Cornell Vet.1986; 76: 11-15.
• Constable PD, Rings DM, Hull BL, Hoffsis GE, Robertson JT. Atresia coli in calves, 26 cases (1977-1987). JAVMA,1989; 195, 1: 118-123.
• Dennis SM. Congenital deffects of sheeps. Vet. Clin North Am: Food Anim. Pract,1993; 9(1): 203-217.
• Doolın EJ, Ormsbee HS, Hıll JL. Motility abnormality in intestinal atresia. Journal of Pediatric Surgery,1987; 22, 4: 320-324.
• Dreyfuss DJ, Tulleners EP. Intestinal atresia in calves, 22 cases (1978- 1988). JAVMA.1989; 195, 4: 508-513.
• Ducharme NG, Arighi M, Horney FD, Barker IK, Lıvesey MA, Hurtig MH, Johnson RP. Colonic atresia in cattle, a prospective study of 43 cases. Can. Vet. J. 1988; 29: 818-824.
• Ghanem M, Yoshida C, Isobe N, Nakao T, Yamashiro H, Kubota H, Miyake Y, Nakada K. Atresia ani with diphallus and separate scrota in a calf: a case report. Theriogenology. 2004; 61 (7-8): 1205-1213.
• Ghanem ME, Yoshida C, Nishibori M, Nakao T, Yamashiro H. A case of freemartin with atresia recti and ani in Japanese Black calf. Anim Reprod Sci. 2005; 85(3-4): 193-199.
• Gökçe AP, Beşaltı Ö, Özak A, Tong S, Yağcı BB. Buzağılarda atresia koli’nin operatif sağaltımı: 11 olgu (1996-1996). Veteriner Cerrahi Dergisi.1999; 5(3-4): 9-13.
• Görgül OS. Ruminant Cerrahisi, Uludağ Üniversitesi Yayınları. 2007. Bursa.
• Görgül OS, Seyrek İntaş D, Çeçen G. Büyük Hayvan Cerrahisi, Uludağ Üniversitesi Yayınları. 2009. Bursa.
• Haller JA, Tepas JT, Pickard LR, Shermeta DW. Intestinal atresia, current consept of pathogenesis, pathophysiology and operative management, The American Surgeon. 1983; 49: 385-391.
• Hatch EI, Schaller RT. Surgical management of multiple intestinal atresias. The American Journal of Surgery. 1986; 151: 550-552.
• Hendrickson DA, Rakesstraw PC, Ducharme NG. Surgical repair of atresia jejuni in two calves. JAVMA.1992; 201, 4: 594-596.
• Hoffsis GF, Bruner RR. Atresia coli in a twin calves. JAVMA,1977; 171 (5): 433-434.
• Hofmeyr CFB. The digestive system. Textbook of large animal surgery. Oehme FW (Ed). Second Edition, Williams and Wilkins, Baltimore. 1988; 399-500.
• Johnson R. Intestinal atresia and stenosis, a review comparing its etiopatogenesis. Veterinary Research Cummunications.1986a; 10: 95-104.
• Johnson R. Intestinal atresia and stenosis, a review comparingits morphology. Veterinary Research Cummunications.1986b; 10: 105-111.
• Jubb TF.Intestinal atresia in Friesian calves. Autsralian Vet. J. 1990; 67, 10: 382.
• Koç Y, Alkan F, Ceylan C, Birdane FM. Atresia kolili 22 buzağıda klinik ve operatif yaklaşımların değerlendirilmesi. Vet. Bil. Derg. 2001; 17, 1: 27-34.
• Lenghaus C, White WE. Intestinal atresia in calves. Austr. Vet. J. 1973; 49: 587-588.
• Lotfi A, Shahryar HA. The case report of taillessness in iranian female calf (A congenital abnormality). AJAVA.2009; 4(1): 47-51.
• Loynachan AT, Jackson CB, Harrison LR. Complete diphallia, imperforate ani (type 2 atresia ani), and an accessory scrotum in a 5-day-old calf. J. Vet. Diagn. Invest, 2006; 18(4): 408-412.
• Maclellan M, Martin JA. Congenital atresia of the large intestine in a calf: Successful Surgical Correction. The Veterinary Record 1956; 14: 458-459.
• Magda MA, Youssef HA. Surgical management of congenital malformations in ruminants. [www.priory.com/vet/congenital_malformations_ruminants.htm.]2007. Erişim Tarihi: 10.12.2014.
• Martens A, Gasthuys F, Steenhaut M, De Moor A. Surgical aspect of intestinal atresia in 58 calves. Vet. Rec,1995; 136(6): 141-144.
• Newman SJ, Bailey TL, Jones JC, Digrassie WA, Whittier WD. Multiple congenital anomalies in a calf. J Vet Diagn Invest.1999; 11(4): 368-371.
• O’connor JJ. Dollar’s Veterinary Surgery.1956; 690-693, London.
• Oğurtan Z, Alkan F, Koç Y. Ruminantlarda kongenital anomaliler, Türk Veteriner Hekimliği Dergisi,1997; 9(4): 24-28.
• Öktem B. Özel Şirürji, Göğüs ve Karın Hastalıkları. 1964. Öktem B, Finci A. Ruminantlarda anüs ve rectum anomalileri üzerinde çalışmalar. 1974.
• Özaydın İ, Kılıç E, Okumuş Z, Cihan M. 1992-1995 Yılları arasında Kafkas Üniversitesi Veteriner Fakültesi kliniklerine getirilen buzağılarda doğmasal anomali olguları. Vet. Cer. Derg. 1995; 1(2): 22-25.
• Öztürk S, Aksoy Ö, Kılıç E, Sözmen M, Arancı A. İki kuzuda ürogenital anomaliyle birlikte seyreden anüs ve rektum atrezisi. Kafkas Üniv. Vet. Fak. Derg.2005; 11(2): 171-174.
• Pamuk K, Korkmaz M, Sarıtaş ZK, Orhan İÖ. Simental ırkı bir buzağıda hypospadiasis ve urogenital anomali. Kocatepe Vet. J.2010; 3(2): 39-42.
• Payan-Carreira R, Pires MA, Quaresma M, Chaves R, Adega F, GuadesPinto H, Colaço B, Villar V. A complex intersex condition in a Holstein calf. Anim Reprod Sci, 2008; 103(1-2): 154-163.
• Prassinos NN, Papazoglou LG, Adamama-Moraıtou KK, Galatos AD, Gouletsou P, Rallıs TS. Congenital anorectal abnormalities in six dogs. Vet Rec.2003; 153(3): 81-85.
• Pratschke K. Surgical diseases of the colon and rectum in small animals. In Pract, July 2005; 354-362.
• Radostits OM, Gay CC, Arundel JH, Blood DC, Hinchcliff KW. Veterinary Medicine. WB Saunders, Philadelphia. 2000.
• Rahal SC, Vicente CS, Mortari AC, Mamprim HJ, Caporalli EH. Recto vaginal fistula with anal atresia in 5 dogs. Can Vet J. 2007; 48(8): 827-830.
• Rescorla FJ, Grosfeld JL. Intestinal atresia and stenosis: Analysis of survival in 120 cases. Surgery. 1985; 98, 4: 668-696.
• Robinson JT. Differential diagnosis and surgical management of intestinal obstruction in cattle. Vet Clin North Am: Large Anim Pract.1979; 1:377-394.
• Samsar E, Akın F. Özel Cerrahi. Tamer Matbaacılık, Yayıncılık, Tan. Hiz.1998. Ankara.
• Saperstein, G. Congenital abnormalities of internal organs and body cavities. Vet Clin North Am: Food Anim Pract,1993; 9: 115-124.
• Singh AP. Congenital malformations in ruminant. A review of 123 cases. Indian Vet J.,1989; 66: 981-985.
• Smith DF, Ducharme NG, Fubini SL, Donawick WJ, Erb HN. Clinical management and surgical repair of atresia coli in calves, 66 cases (1977-1988). JAVMA, 1991; 199, 9: 1185-1190.
• Steenhaut M, De Moor A, Verschooten F, Desmet P. Intestinal malformations in calves and their surgical correction, Vet Rec, 1976; 14: 131-133.
• Syed M, Shanks RD. Incidence of atresia coli and relationships among the affected calves born in one herd of holstein cattle. J Dairy Science, 1992; 75, 5: 1357-1364.
• Syed M, Shanks RD. What causes atresia coli in holstein calves. Cornell Vet., 1993; 83, 4: 261-263.
• Van Der Gaag I, Tibboe D. Intestinal atresia and stenosis in animals: a report of 34 cases, Vet Pathol.1980; 17: 565-574.
• Young RL, Lınford RL, Olander HJ. Atresia coli in the foal, a review of six cases.Equine Vet. J.1992; 24, 1: 60-62.