Nutrition: Nutritional Management of Postoperative Colopexy and Megacolon Resulting from Pelvis Fracture
Introduction
The patient with chronic dyschezia and tenesmus presents abdominal discomfort, pain, reduced intestinal motility and the possibility of bacterial translocation. Intestinal nutrition is essential for intestinal microbiota maintenance and the colonocytes integrity, especially butyrate, fatty acid short chain arising energy diets.
Objective
Patient nutritional management in postoperative colopexy and megacolon consequent to pelvis fracture.
Methods
A 3-year-old, male mongrel, neutered dog was attendant at the Veterinary Hospital of UNESP presenting pelvis fracture history for six months and clinical signs of dyschezia, tenesmus and appetite loss for 15 days, with low nutritional status and desiccated and brittle feces. After emergency surgery with milking stool, corrective colopexy and placement of gavage feeding, feeding was instituted based on dry food with high protein content (95 g/1000 kcal), high ether extract (50 g/1000 kcal) and metabolizable energy 3,900 kcal/kg, in pasty consistency. The patient received 130 kcal/kg of metabolic body weight. For improvement of faecal condition, Lactulona was instituted orally at a dose of 0.25 mL per kg every 8 hours for 15 days.
Results
After one day of treatment the stool had become pasty, there was no difficulty in defecation, appetite was improved, and body weight gain of 400 grams on a diet week was observed.
Conclusions
Highly digestible protein and energy diets are effective in weight gain and intestinal nutrition. The fermentable fiber institution was favorable to postoperative patient without interfering with these characteristics.