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Ullal TV, Marks SL, Belafsky PC, Conklin JL, Pandolfino JE. A Comparative Assessment of the Diagnosis of Swallowing Impairment and Gastroesophageal Reflux in Canines and Humans. Front Vet Sci 2022; 9:889331. [PMID: 35754550 PMCID: PMC9228035 DOI: 10.3389/fvets.2022.889331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 05/05/2022] [Indexed: 11/24/2022] Open
Abstract
Swallowing impairment is a highly prevalent and clinically significant problem affecting people and dogs. There are myriad causes of swallowing impairment of which gastroesophageal reflux is the most common in both species. Similarities in anatomy and physiology between humans and canines results in analogous swallowing disorders including cricopharyngeus muscle achalasia, esophageal achalasia, hiatal herniation, and gastroesophageal reflux with secondary esophagitis and esophageal dysmotility. Accordingly, the diagnostic approach to human and canine patients with swallowing impairment is similar. Diagnostic procedures such as swallowing fluoroscopy, high-resolution manometry, pH/impedance monitoring, and endolumenal functional luminal imaging probe can be performed in both species; however, nasofacial conformation, increased esophageal length, and the difficulty of completing several of these procedures in awake dogs are inherent challenges that need to be considered. Human patients can convey their symptoms and respond to verbal cues, whereas veterinarians must rely on clinical histories narrated by pet owners followed by comprehensive physical examination and observation of the animal eating different food consistencies and drinking water. Dogs may also be unwilling to drink or eat in the hospital setting and may be resistant to physical restraint during diagnostic procedures. Despite the species differences and diagnostic challenges, dogs are a natural animal model for many oropharyngeal and esophageal disorders affecting people, which presents a tremendous opportunity for shared learnings. This manuscript reviews the comparative aspects of esophageal anatomy and physiology between humans and canines, summarizes the diagnostic assessment of swallowing impairment in both species, and discusses future considerations for collaborative medicine and translational research.
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Affiliation(s)
- Tarini V Ullal
- Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, CA, United States
| | - Stanley L Marks
- Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, CA, United States
| | - Peter C Belafsky
- Department of Otolaryngology, Center for Voice and Swallowing, School of Medicine, University of California, Davis, Davis, CA, United States
| | - Jeffrey L Conklin
- The Vatche and Tamar Manoukian Division of Digestive Diseases, Department of Medicine, UCLA Robert G. Kardashian Center for Esophageal Health, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
| | - John E Pandolfino
- Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
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Barash NR, Lashnits E, Kern ZT, Tolbert MK, Lunn KF. Outcomes of esophageal and gastric bone foreign bodies in dogs. J Vet Intern Med 2022; 36:500-507. [PMID: 35156732 PMCID: PMC8965252 DOI: 10.1111/jvim.16383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 01/28/2022] [Accepted: 01/28/2022] [Indexed: 11/29/2022] Open
Abstract
Background Objectives Animals Methods Results Conclusions and Clinical Importance
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Affiliation(s)
- Nanelle R. Barash
- Department of Clinical Sciences, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USA
| | - Erin Lashnits
- Department of Clinical Sciences, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USA
| | - Zachary T. Kern
- Department of Clinical Sciences, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USA
| | - Mary Katherine Tolbert
- Department of Clinical Sciences, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USA
| | - Katharine F. Lunn
- Department of Clinical Sciences, College of Veterinary Medicine North Carolina State University Raleigh North Carolina USA
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3
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Carey Beer AJ, Hernon T, Halfacree Z, Mullins RA, Moores A, de la Puerta B, Timmermans J, Shales C, Goh D, Best E, Bristow P. Complications associated with and outcome of surgical intervention for treatment of esophageal foreign bodies in dogs. J Am Vet Med Assoc 2022; 260:622-627. [PMID: 34986116 DOI: 10.2460/javma.21.01.0060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To identify complications associated with and short- and long-term outcomes of surgical intervention for treatment of esophageal foreign bodies (EFBs) in dogs. ANIMALS 63 client-owned dogs. PROCEDURES Patient records from 9 veterinary hospitals were reviewed to identify dogs that underwent surgery for removal of an EFB or treatment or an associated esophageal perforation between 2007 and 2019. Long-term follow-up data were obtained via a client questionnaire. RESULTS 54 of the 63 (85.7%) dogs underwent surgery after an unsuccessful minimally invasive procedure or subsequent evidence of esophageal perforation was identified. Esophageal perforation was present at the time of surgery in 42 (66.7%) dogs. Most dogs underwent a left intercostal thoracotomy (37/63 [58.7%]). Intraoperative complications occurred in 18 (28.6%) dogs, and 28 (50%) dogs had a postoperative complication. Postoperative complications were minor in 14 of the 28 (50%) dogs. Dehiscence of the esophagotomy occurred in 3 dogs. Forty-seven (74.6%) dogs survived to discharge. Presence of esophageal perforation preoperatively, undergoing a thoracotomy, and whether a gastrostomy tube was placed were significantly associated with not surviving to discharge. Follow-up information was available for 38 of 47 dogs (80.9%; mean follow-up time, 46.5 months). Infrequent vomiting or regurgitation was reported by 5 of 20 (25%) owners, with 1 dog receiving medication. CLINICAL RELEVANCE Results suggested that surgical management of EFBs can be associated with a high success rate. Surgery should be considered when an EFB cannot be removed safely with minimally invasive methods or esophageal perforation is present.
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Affiliation(s)
- Andrew James Carey Beer
- 1Royal Veterinary College, Hatfield, Hertfordshire, England.,2Langford Vets, Langford, Bristol, England
| | - Tom Hernon
- 2Langford Vets, Langford, Bristol, England
| | - Zoë Halfacree
- 3Davies Veterinary Specialists, Higham Gobion, Hertfordshire, England
| | - Ronan A Mullins
- 4Section of Veterinary Clinical Sciences, University College Dublin, Dublin, Ireland
| | - Alison Moores
- 5Anderson Moores Veterinary Specialists Ltd, Winchester, Hampshire, England
| | | | - Joep Timmermans
- 7Vets Now 24/7 Emergency and Specialty Hospital, Glasgow, Scotland
| | - Chris Shales
- 8Willows Veterinary Centre & Referral Service, Solihull, West Midlands, England
| | - Derniese Goh
- 9Peninsula Vet Care Emergency and Referral Hospital, Mornington, Victoria, Australia
| | - Elisa Best
- 10Rowe Referrals, Bradley Stoke, Bristol, England
| | - Poppy Bristow
- 11Dick White Referrals, Six Mile Bottom, Cambridgeshire, England
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Cock G, Darby S, Freeman DE, Gomez DE. Endoscopic-guided Esophageal Foreign Body Removal in a Donkey. J Equine Vet Sci 2021; 105:103696. [PMID: 34607687 DOI: 10.1016/j.jevs.2021.103696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 06/11/2021] [Accepted: 06/14/2021] [Indexed: 10/21/2022]
Abstract
Esophageal obstruction is a common disorder in equids usually caused by intraluminal impaction with roughage and/or other feed material. Esophageal obstructions can also be caused by foreign bodies, but they are rarely reported and information regarding diagnosis and management is lacking. This report describes an esophageal obstruction in a donkey caused by a metallic foreign body removed using endoscopic guidance. Recognition of the foreign body facilitated treatment and underscores the importance of imaging in such cases to prevent dislodgement of the object to more aboral sites where access would be limited, or gastrointestinal tract injury could be fatal.
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Affiliation(s)
- Gemma Cock
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Fl
| | - Shannon Darby
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Fl
| | - David E Freeman
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Fl
| | - Diego E Gomez
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Fl; Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada..
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Wood AN, Gallagher AE. Survey of Instruments and Techniques for Endoscopic Retrieval of Esophageal and Gastric Foreign Bodies in Cats and Dogs. Top Companion Anim Med 2021; 45:100555. [PMID: 34214651 DOI: 10.1016/j.tcam.2021.100555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Revised: 06/22/2021] [Accepted: 06/28/2021] [Indexed: 10/21/2022]
Abstract
Esophageal and gastric foreign bodies (EFB and GFB) are a common occurrence in cats and dogs. The objective of this study is to evaluate the endoscopic instruments and techniques used for foreign body retrieval by internists or criticalists based on type and location of the foreign body. An online, anonymous survey was created using a commercial software. The survey was distributed to diplomates of the ACVIM (SAIM) and ACVECC through each college's listserv. Data obtained included specialty, years in practice, practice type, available instruments, and preferred instrument for various foreign bodies by location and type. Two hundred sixty-eight surveys were completed with 74% from private referral practice and 21% from academic practice. For EFB, laparoscopic or endoscopic grasping forceps were used most commonly. For GFB, grasping forceps or loop snares were used most commonly. Fifty percent of respondents reported attempting duodenal FB removal. In practices with limited financial resources, endoscopic grasping forceps and loop snares may be prioritized for purchase as these instruments may have the most application for foreign body retrieval from the esophagus and stomach.
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Affiliation(s)
- Alexandra N Wood
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Ave, Gainesville, FL 32608, US
| | - Alexander E Gallagher
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Ave, Gainesville, FL 32608, US.
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Da Riz F, Béguin J, Manassero M, Faucher M, Freiche V. Outcome of dogs and cats with benign oesophageal strictures after balloon dilatation or stenting: 27 cases (2002-2019). J Small Anim Pract 2021; 62:886-894. [PMID: 34159606 DOI: 10.1111/jsap.13392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Revised: 04/26/2021] [Accepted: 05/24/2021] [Indexed: 01/21/2023]
Abstract
OBJECTIVES Acquired oesophageal strictures remain challenging to manage in canine and feline patients. The aims of this study were to describe the treatment, complications, short-term outcome and long-term follow-up of benign oesophageal strictures treated by balloon dilatation or stenting in dogs and cats and to describe adjunctive techniques to minimise the complication rate of stent placement. MATERIALS AND METHODS Retrospective analysis of medical records of dogs and cats with benign oesophageal stricture diagnosed under endoscopy between 2002 and 2019. RESULTS Eighteen dogs and nine cats were included, representing 39 strictures. Balloon dilatation was used as first-line therapy, with a good outcome in 59% of cases. Stents were placed in eight cases due to stricture recurrence; 88% had a long-term satisfactory outcome. Short-term complications occurred in six of eight cases; migration and aberrant mucosal reaction were uncommon. In three cases, progressive mesh cutting during follow-up reduced discomfort and trichobezoars formation and improved long-term stent tolerance. Overall median survival time was 730 days. CLINICAL SIGNIFICANCE Long-term prognosis of balloon dilatation as a first-line therapy for esophageal strictures and of stenting as a rescue therapy was considered satisfactory. Although discomfort associated with stenting was frequent, tolerability might be improved by per-endoscopic adjunctive techniques.
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Affiliation(s)
- F Da Riz
- Service de Médecine interne, Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, F-94700, France
| | - J Béguin
- Service de Médecine interne, Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, F-94700, France
| | - M Manassero
- Service de Chirurgie, Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, F-94700, France
| | - M Faucher
- Clinique Vétérinaire Alliance, Bordeaux, France
| | - V Freiche
- Clinique Vétérinaire Alliance, Bordeaux, France
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Phillips V, Allerton F, Robinson W. Oesophageal dysmotility in a dog following surgical correction of an oesophageal perforation. VETERINARY RECORD CASE REPORTS 2021. [DOI: 10.1002/vrc2.57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
| | | | - Will Robinson
- Willows Veterinary Centre and Referral Service, Shirley UK
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Rimer D, Lerman O, Klainbart S, Nivy R. Lethal acute hemorrhage from an aortoesophageal fistula following endoscopy-assisted esophageal foreign body removal in a dog. J Vet Emerg Crit Care (San Antonio) 2020; 30:587-591. [PMID: 32864860 DOI: 10.1111/vec.12998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 01/12/2019] [Accepted: 01/21/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To describe the clinical presentation of a dog with fatal hemorrhage from an aortoesophageal fistula (AEF) immediately following endoscopic removal of an osseous esophageal foreign body. CASE SUMMARY A 12-year-old, male mixed-breed dog presented to a university hospital with a 6-day history of gagging, hematemesis, and anorexia. Physical examination upon arrival was unremarkable. Blood work revealed leukocytosis without anemia. Thoracic radiographs from the referring veterinarian demonstrated the presence of an osseous esophageal foreign body at the level of the heart base. Subsequently, esophagoscopy was performed under general anesthesia. A triangular-shaped, osseous esophageal foreign body was visualized at the level of the heart base and successfully removed. Following its removal, a deep, nonbleeding, presumably nonperforated, esophageal ulcer was revealed. While recovering from anesthesia, the dog's condition acutely deteriorated, with absence of spontaneous respiration, severe tachycardia, hypotension, white-pale mucous membranes, and hypothermia. Severe anemia was present, with hypovolemic shock likely secondary to acute, postprocedural bleeding. Medical management included rapid packed red blood cell transfusion, crystalloid fluid therapy, and tranexamic acid. Despite initial stabilization, several hours later, the dog suffered cardiac arrest and cardiopulmonary resuscitation (CPR) was unsuccessful. At postmortem examination, a 1-mm AEF was identified on the ventral aspect of the aorta that communicated with the overlying esophagus. NEW OR UNIQUE INFORMATION PROVIDED Aortoesophageal fistulas should be considered in any patient with severe bleeding following esophagoscopy. A history of hematemesis in a dog with an esophageal foreign body should raise suspicion of an AEF and dictate case management accordingly.
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Affiliation(s)
- Dar Rimer
- Department of Small Animal Internal Medicine, The Hebrew University Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
| | - Omer Lerman
- Department of Pathology, The Hebrew University Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
| | - Sigal Klainbart
- Department of Emergency and Critical Care, The Hebrew University Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
| | - Ran Nivy
- Department of Small Animal Internal Medicine, The Hebrew University Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel
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9
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Slater RT, Beaulieu AEM, Schachtel J, Wilkinson TE. What Is Your Diagnosis? J Am Vet Med Assoc 2020; 255:423-425. [PMID: 31355725 DOI: 10.2460/javma.255.4.423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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10
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Benign Duodenal Stricture Treated with Surgical Correction and Dietary Therapy in a Golden Retriever. Case Rep Vet Med 2020; 2020:4283175. [PMID: 32318308 PMCID: PMC7165342 DOI: 10.1155/2020/4283175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 03/11/2020] [Indexed: 11/18/2022] Open
Abstract
A benign duodenal stricture is a well-documented condition of humans that has not been characterized in dogs. In this case report, the clinical, radiographic, ultrasonographic, endoscopic, surgical, and histopathologic findings of a single benign duodenal stricture in a Golden Retriever are reported. Definitive diagnosis was made possible with the utilization of esophagogastroduodenoscopy (EGD). Surgical correction of the stricture, paired with dietary therapy that utilized a highly digestible diet, resolved the clinical signs in the case reported. Several inciting causes were identified as possible drivers of stricture formation, including nonsteroidal anti-inflammatory drug (NSAID) administration, mucosal ulceration, traumatic injury, or inflammatory intestinal disease. A benign duodenal stricture should be considered an infrequent cause of intermittent, chronic gastrointestinal signs that may have a favorable outcome via surgical correction and dietary management.
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11
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Delligianni A, Papazoglou LG, Savvas I, Kazakos G, Patsikas M, Tsioli V, Chatzimisios K, Angellou V, Liakouras S, Rallis T. Transdiaphragmatic Gastrotomy for the Extraction of Distal Esophageal Foreign Bodies in 13 Dogs (1997-2016). J Am Anim Hosp Assoc 2019; 56:17-22. [PMID: 31715114 DOI: 10.5326/jaaha-ms-6971] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The records of 13 dogs with distal esophageal foreign body obstruction not amenable to endoscopic management that had transdiaphragmatic gastrotomy (TG) for the foreign body extraction were reviewed. West Highland white terriers were over-represented. Mean age of the dogs at presentation was 38.6 mo, and mean duration of clinical signs associated with esophageal foreign bodies was 5.8 days. A TG was performed via an eighth or ninth left intercostal thoracotomy, and clinical results were successful in 12 dogs. In 1 dog, gastrotomy failed to retrieve a foreign body and esophagotomy was performed. Foreign bodies that were removed included 3 fishhooks and 10 animal bones. Postoperatively, all dogs developed esophagitis, 1 dog showed esophageal stricture, and 1 dog died of pyothorax associated with esophageal perforation 1 day postsurgery. Overall, 12 dogs survived and were free of clinical signs after a median follow-up time of 17 mo. TG is an effective surgical technique for the retrieval of distal esophageal foreign bodies.
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Affiliation(s)
- Anna Delligianni
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Lysimachos G Papazoglou
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Ioannis Savvas
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Georgios Kazakos
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Michail Patsikas
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Vassiliki Tsioli
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Kyriakos Chatzimisios
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Vasileia Angellou
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Styliani Liakouras
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
| | - Timoleon Rallis
- From the Clinic of Companion Animals, Department of Clinical Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece (A.D., L.G.P., I.S., G.K., M.P., K.C., V.A., T.R.); Clinic of Surgery, School of Veterinary Medicine, University of Thessaly, Kardista, Greece (V.T.); and Goddard Veterinary Group, Surrey, United Kingdom (S.L.)
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Dollo V, Chambers G, Carothers M. Endoscopic retrieval of gastric and oesophageal foreign bodies in 52 cats. J Small Anim Pract 2019; 61:51-56. [PMID: 31709553 DOI: 10.1111/jsap.13074] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 09/02/2019] [Accepted: 09/09/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To assess the outcomes and major complications in cats that require oesophageal and gastric endoscopic foreign body removal. MATERIALS AND METHODS The medical records of 52 cats with oesophageal and gastric foreign bodies that underwent endoscopic foreign body retrieval during a 13-year period (2006 to 2018) were retrospectively reviewed to characterise the clinical and radiographic signs, endoscopic findings, outcomes and major complications. RESULTS Endoscopic foreign body retrieval was successful in 49 of the 52 cats (94.2%). Radiographs confirmed the foreign material in 24 of the 50 cats (48%). Major complications occurred in eight of the 52 cats (15.4%) and included pleural effusion (n=2), aspiration pneumonia (n=2), unsuccessful removal of foreign material with endoscopy (n=3), oesophageal stricture formation (n=3) and cardiopulmonary arrest (n=1). Cats with oesophageal foreign bodies were more likely to experience major complications than those with gastric foreign bodies. CLINICAL SIGNIFICANCE Endoscopic foreign body removal in cats was associated with good overall outcomes and a low complication rate in this study sample. These results will help veterinarians better understand the outcomes of endoscopic foreign body removal in cats.
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Affiliation(s)
- V Dollo
- Akron Veterinary Internal Medicine and Oncology, Metropolitan Veterinary Hospital, Akron, Ohio, 44321, USA
| | - G Chambers
- Akron Veterinary Internal Medicine and Oncology, Metropolitan Veterinary Hospital, Akron, Ohio, 44321, USA
| | - M Carothers
- Akron Veterinary Internal Medicine and Oncology, Metropolitan Veterinary Hospital, Akron, Ohio, 44321, USA
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13
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Yamada R, Kuze-Arata S, Kiyokawa Y, Takeuchi Y. Prevalence of 25 canine behavioral problems and relevant factors of each behavior in Japan. J Vet Med Sci 2019; 81:1090-1096. [PMID: 31167977 PMCID: PMC6715928 DOI: 10.1292/jvms.18-0705] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Undesirable behaviors exhibited by dogs are called canine behavioral problems. Behavioral
problems are common among dogs kept in ordinary homes; hence, veterinarians need to have
sufficient knowledge of these problems, so as to advise owners. Among dogs kept in
ordinary Japanese homes, only a few behaviors have been investigated regarding prevalence
and relevant factors. To improve understanding of behavioral problems, a comprehensive
survey is crucial. In this study, we distributed an online survey including general
information and questions about 25 canine behaviors that can become problematic to owners,
to investigate (1) the prevalence of behavioral problem, (2) the most common behavioral
problems, and (3) the relevant factors of each behavior. We collected 2,050 valid
responses. Among all dogs, 86.0% exhibited at least one behavioral problem. “Barking at
noises inside the house”, “Barking at unfamiliar visitors”, and “Pica” were the most
frequent behavioral problems. To reveal those factors related to the expression of each
behavior, we performed multiple logistic regression analyses, with the presence of
behaviors as objective variables and dogs’ general information as explanatory variables.
Breed, age, the presence of other dogs in the household, sex, neutering status, source of
acquisition, and type of residence were associated with 19, 16, 5, 4, 4, 4, and 1
behaviors, respectively. This study revealed the prevalence of 25 canine behavioral
problems in Japan and relevant factors of each behavior. Our findings will be useful for
veterinarians in advising owners about preventing behavioral problems.
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Affiliation(s)
- Ryoko Yamada
- Laboratory of Veterinary Ethology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Yayoi 1-1-1, Bunkyo-ku, Tokyo 113-8657, Japan
| | - Sayaka Kuze-Arata
- Laboratory of Veterinary Ethology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Yayoi 1-1-1, Bunkyo-ku, Tokyo 113-8657, Japan.,Present address: Department of Animal Science and Biotechnology, Azabu University, Fuchinobe 1-17-71, Chuo-ku, Sagamihara, Kanagawa 252-5201, Japan
| | - Yasushi Kiyokawa
- Laboratory of Veterinary Ethology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Yayoi 1-1-1, Bunkyo-ku, Tokyo 113-8657, Japan
| | - Yukari Takeuchi
- Laboratory of Veterinary Ethology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Yayoi 1-1-1, Bunkyo-ku, Tokyo 113-8657, Japan
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Wyatt SR, Barron PM. Complications following removal of oesophageal foreign bodies: a retrospective review of 349 cases. Aust Vet J 2019; 97:116-121. [PMID: 30919444 DOI: 10.1111/avj.12796] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Revised: 12/18/2018] [Accepted: 01/23/2019] [Indexed: 11/30/2022]
Abstract
AIM To determine the incidence and types of complications associated with oesophageal foreign body (FB) removal in dogs, as well as to evaluate potential risk factors for the development of complications. METHODS Clinical records were searched within Animal Emergency Service and Veterinary Specialist Services databases between July 2001 and March 2017. Data were collected regarding signalment, FB type, method of removal, medical management and complications. Follow-up records from the referring veterinarian were then obtained by either phone call or email. RESULTS A total of 349 FB cases were reviewed. The majority of FBs were bones (77.4%), with Staffordshire Bull Terriers (12.3%) and West Highland White Terriers (9.8%) the most common breeds seen. Complications at the time of FB removal occurred in 20 cases (5.9%), with 14 cases of perforation. Persistent gastrointestinal signs were reported in 4.7% of cases within the initial 72-h period following FB removal and 11.9% cases outside this time period. Respiratory signs such as dyspnoea and coughing were also reported in 8 cases (2.3%), all of which occurred within 72 h after FB removal. Follow-up of at least 1 month was available in 151 cases. Delayed complications occurred in 11 cases (7.3%), with stricture occurring in 4 cases (2.6%); 16 animals were either euthanased (n = 14) or died (n = 2) post-FB removal, resulting in a case fatality rate of 4.6%. CONCLUSION Use of antacid medications and FB type did not have a statistically significant relationship with complications following FB removal.
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Affiliation(s)
- S R Wyatt
- Veterinary Specialist Services, Underwood, Queensland, Australia
| | - P M Barron
- Veterinary Specialist Services, Underwood, Queensland, Australia
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Teh H, Winters L, James F, Irwin P, Beck C, Mansfield C. Medical management of esophageal perforation secondary to esophageal foreign bodies in 5 dogs. J Vet Emerg Crit Care (San Antonio) 2018; 28:464-468. [PMID: 30126065 DOI: 10.1111/vec.12757] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2016] [Revised: 09/14/2016] [Accepted: 09/15/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To describe 5 cases of conservative management of substantial esophageal perforation in dogs. SERIES SUMMARY Five dogs presented with an esophageal foreign body (EFB) and resultant esophageal perforation. Clinical signs at presentation included tachycardia, tachypnea, and increased respiratory effort. Thoracic radiography was performed in all cases, and in each case, pleural and mediastinal effusion was present, suggesting esophageal perforation prior to endoscope-guided removal. A full thickness esophageal defect was visualized after foreign body removal in 4/5 cases. Treatment included IV crystalloid fluid therapy, IV antimicrobials, analgesia, and proton pump inhibitors in all cases. Two dogs had a percutaneous endoscopically placed gastrostomy feeding tube placed and 1 dog received prednisolone sodium succinate IV because of marked pharyngeal inflammation. Complications after EFB removal included pneumothorax (n = 2) and pneumomediastinum (n = 4). Four of the 5 dogs survived to discharge and did not have complications 2-4 weeks following discharge. One dog was euthanized as result of aspiration pneumonia following EFB removal. NEW OR UNIQUE INFORMATION PROVIDED Traditionally, surgical management of esophageal perforations has been recommended. This can be a costly and invasive procedure and requires a high degree of surgical skill. In this report, conservative management of substantial esophageal perforation in 5 dogs is described; medical management may be a viable treatment option in dogs with perforation of the esophagus due to EFB.
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Affiliation(s)
- Helsa Teh
- Animal Referral Hospital, Melbourne, Victoria, Australia
| | - Lisa Winters
- The School of Veterinary Biomedical Sciences, Murdoch University, Murdoch, Western Australia, Australia
| | - Fleur James
- The School of Veterinary Biomedical Sciences, Murdoch University, Murdoch, Western Australia, Australia
| | - Peter Irwin
- The School of Veterinary Biomedical Sciences, Murdoch University, Murdoch, Western Australia, Australia
| | - Catherine Beck
- Translational Research and Animal Clinical Trial Study (TRACTS) group, Faculty of Veterinary and Agricultural Science, The University of Melbourne, Werribee, Victoria, Australia
| | - Caroline Mansfield
- Translational Research and Animal Clinical Trial Study (TRACTS) group, Faculty of Veterinary and Agricultural Science, The University of Melbourne, Werribee, Victoria, Australia
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