12. Diseases of the oesophagus in dogs and cats. Regurgitation and vomitus. Flashcards
causes of oesophagitis
caustic substances
gastro- oesophageal reflux
motility disorders
megaoesophagus
doxycycline
clindamycin
anaesthesia
froeign body
clinical signs of oesophagitis
odynophagia (pain when swallowing)
regurgitation
salivation
food refusal
coughing
fever
dyspnoea
diagnosis of oesophagitis
increased WBC
endoscopy
xray
treatment of oesophagitis
omeprazole + prokinetics
sucralfate suspension
total parenteral nutrition
gastro oesophagwal reflux (GOR)
definition
poor closure of the cardia
inflammation due to HCL, pepsin, trypsin, bile, HCO3
causes of gastro oesophagwal reflux (GOR)
delayed gastric emptying
upper airway obstruction
hiatal hernia
anaesthesia
chronic vomiting
clinical signs of gastro oesophagwal reflux (GOR)
reverse sneezing
chronic bronchitis
laryngitis
rhinitis
erucation
diagnosis of gastro oesophagwal reflux (GOR)
clinical signs - history
endoscopy
treatment of gastro oesophagwal reflux (GOR)
low fat diet
H2 receptor blockers
PPI
prokinetics
sucralfate
what durgs enhance the closure of the cardia
metoclopramide
erythromycin
clinical sings of oesophageal foreign body
regurgitation
salivation
abdominal distension
coughing, fever, dyspnoea
diagnosis of gastro oesophagwal reflux (GOR)
clinical signs
thoracic xray
endoscopy
increased WBC
treatment of oesophageal foreign body
endoscopic removal
surgery
gastric tubing
euthansia
types of dysmotility/ oesophageal weakness
megaoesophagus
partial oesophageal dysmotility
dystonia
diverticulum
causes of dysmotility/ oesophageal weakness
idiopathic
muscle atrophy
myasthenia gravis
Autoimmune
post anaesthesia condition
oesophagitis
clinical signs of dysmotility/ oesophageal weakness
salivation
cough (bronchopneumonia)
fever
dyspnoea
weight loss
diagnosis of dysmotility/ oesophageal weakness
fluroscopy, radiography
treatment of dysmotility/ oesophageal weakness
special feeding
PEG (percutaneous endoscopic gastrotomy)
Megaoeasophagus definition
persisten decrease of motility of the oesophagus
what animal is Megaoeasophagus more common in
dogs > cats
cause of Megaoeasophagus
normally idiopathic
may be caused by laryngeal paralysis
NB to check for aspiration pneumonia
congenital Megaoeasophagus
mini schnauzer, great dane, dalmatian
shar pei, irish setter, lb
clinical signs of congenital Megaoeasophagus
usually develops during the weaning phase
no treatment
poor porgnosis
acquired Megaoeasophagus
Primary form
diagnosis by exclusion
large > toy breeds
treat using Bailey chair; sucralfate + bethanechol