The resection of the ileocolic junction (ICJR) leads to the loss of regulation of both anterograde and retrograde reflux. The loss of anterograde resistance can potentially result in diarrhea, nutrient malabsorption, and even dehydration due to accelerated chyme transit.
Resection of the ileocolic junction (ICJ) is sometimes performed alongside the resection of the terminal ileum. Bile acids and cobalamin are reabsorbed in the ileum; therefore, if a significant portion of the ileum is resected along with the ICJ, bile salt malabsorption, intestinal dysbiosis, and hypocobalaminemia may occur, potentially causing chronic diarrhea.
FGESF presents as eosinophilic masses that are associated with the gastrointestinal tract and associated abdominal lymph nodes, often localized near the pylorus or ileocaecocolic junction. The disease mimics neoplastic disease on abdominal US and CT. FNA may yield a large eosinophilic population. This is the case of a complete recovery in a cat with progressive clinical signs, weight loss, vomiting, diarrhea.
FGESF in a cat, ileocolic junction. Observe the local eosinophilic mass.
FGESF-ileocolic junction with local vasculature before resection. Large ileocolic eosinophilic mass.
FGESF-ileocolic junction resection-vasculature isolation
FGESF-enteroanastomisis after ileocecal junction resection for eosinophilic mass
de Dr. Daniel Lescai
Doctor in Medicina Veterinara
