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Prognosis

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Prognosis is traditionally considered poor [1, 3, 6, 7, 9, 12, 15, 18, 20], although successful recoveries have been reported. One retrospective study [20] had a higher recovery rate than previously reported [4, 10, 16], with 5 of 12 dogs recovering from surgery without enterectomy. Perhaps early recognition, immediate supportive and surgical intervention and anticipation of, and preemptive treatment for, the most severe sequelae can improve the success of recovery. Breed and time to intervention are suspected to play a role in prognosis [3–10,13–15, 18, 20, 21]. It has been proposed that a partial torsion of the mesentery carries a better chance of survival than a complete torsion [9]; however, recurrence is possible, even though risk factors for recurrence are unknown (Case Report 9.1). Unfortunately, owing to the rarity of the condition, a prospective study assessing outcomes and factors influencing survival is unlikely.

Small Animal Surgical Emergencies

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