GIT, pancreas, liver Flashcards
What is the most common viral agent identified in cats with feline gingivostomatitis?
Feline calicivirus
Nakanishu JFMS 2019
What is the most common oral bacteria in healthy cats?
In cats with feline gingivostomatitis?
Healthy - pasteurella multocida
FGS - Enterococcus faecali and aenaerobic bacteria
Nakanishu JVIM 2019
What concurrent disease is frequently seen with feline gingivostomatitis?
What areas does it affect and in what percentage of cases?
Oesophagitis
Proximal - 75%
distal - 90%
Kouki JVIm 2017
Do cats with feline gingivostomatitis and concurrent oesophagitis frequently have GIT clinical signs?
No - 0/58
Kouki JVIM 2017
What is the preferred method for assessing dysphagia?
videofluoroscopic swallowing study utilizing a normal physiological feeding position.
Harris JVIM 2017
Is gastric reflux always an abnormal finding on physiological feeding position videofluoroscopic swallowing studies?
No - can be seen in healthy dogs
Harris JVIM 2017
Is radiation effective for the treatment of sialocele in dogs? If so what is the minimum dose recommended?
Yes with 54% achieving complete remission adn 45% achieving partial remission, including 3 dogs with repeat radiation that achieved remission after the second round of radiation.
16 or 20Gy in 4 Gy fractions.
Poirier JVIM 2018
What is the recurrence rate for sialocoels after initial surgery?
5-14%
Poirier JVIm 2018
Aside from strategic oral or gastrostomy tube feeding, are there any other options to minimize aspiration pneumonia in dogs with megaoesophagus?
What is the median survival time after implementing this?
at home suction of oesophageal contect via either oesophagostomy tube or per os.
median survival - 13.5 months. with none or infrequent aspiration events.
Manning JVIM 2016
What are possible complications of at home oesophageal suctioning in dogs with megaoesophagus?
- obsturction of O-tube
- skin infection at insertation site
- oesophagitis
Manning JVIM 2016
What is the frequency of gastro-oesophageal reflux in cats undergoing anaesthesia?
33%
Gargia JVIM 2017
Does 2 doses of omeprazole 1,5-2mg/kg PO in 24h increase the gastric and oesophageal pH significantly?
If so, to what pH?
Does this affect serum gastrin concentrations?
Yes
Increases pH from 2.8 to 7.2
Does not affect serum gastrin concentrations
garcia JVIm 2017
In regards to canine oesophageal foreign bodies, what is:
- the most common cause?
- the most common region of lodgement?
- the percentage that die in hospital
- the risk factors associated with death in hospital?
- percentage that have post removal oesophageal strictures?
Cause - bone (81%)
Region - distal oesophagus
% that die - 5% in hospital
Risk factors for death - surgery, declining surgery to try endoscopy again, and increased complications especially oeophgeal perforation, and post procedure oesophageal haemorrhage
Stricutres reportedin 2.1% of survivors.
Burton JVIM 2017
What are the benefits of indwelling oesophageal balloon dilation feeding tube for treatment of benign oesophageal stricture?
- well tolerated
- significant improvement in modified dysphagia score
- reduced anaesthetic time.
- more economical
Tan JVIM 2017
What complications were noted with indwelling oesophageal balloon dilation feeding tube for treatment of benign oesophageal stricture
- swallowing and gagging during insufflation of the balloon
- regurgitation
- skin site infection
- vomiting
- dislodgement of the tube
- repeat GA to replace tubes that had moved or been vomited up.
Tan JVIm 2017
How can dogs with lower oesophageal sphincter achalasia-like syndrome be diagnosed?
Via the video fluoroscopic swallowing study ising a free-feeding protocol.
Grbman JVIM 2018
What findings and in what percentage of cases with lower oesophageal achalasia-like syndrome in dogs were seen?
- megaoesophagus - 73%
- baseline oesophageal fluid line - 68%
- “bird beak” 63%
- acontractile oesophagus - 8/19
- hypomotile oesophagus - 8/19
- hypermotile oesophagus - 3/19
Grobman JVIM 2018
What treatment options may exist for dogs with function obstruction of the lower oesophageal sphincter?
- injecting the LOS with botulinum toxin A
- pneumatic LOS dilation
- Surgical LOS myotomy
Grobman JVIm 2018
What proportion of cats with oesophageal feeding tube placement had complications?
what were the most common complications?
In which patients?
35% had complications
- tube dislodgement (14.5%) and stomasite infections (12%) were most common complications
- Patient on glucocorticoids, chemo or with discharge at the stoma site had an increased odds of stoma site infections
Breheny JVIM 2018
Cats with which diseases and an Otube had an increased odds of death?
- lower weight
- pancreatic disease
- neoplastic
- respiratory
- urogenital
- infectious diseases
had increased odds of death
duration of time in place or discahrge with tube in were not associated with increased odds of death.
Breheny JVIM 2018
Idiopathic oesophageal dysmotility is most common in what type of dogs? of what age?
- brachycephalic dogs
> 1 year old
Eivers JVIM 2019
What feature of idiopathic oesophageal dysmotility are most commonly seen in brachycephalic dogs?
- prolonged oesophageal transit time
- decreased propagation of secondary peristaltic waves
- GER
- hiatial hernia
Eivers JVIM 2018
What is the oesophagostomy tube complication rate in dogs and cats?
44%
Nathanson JVIm 2019
what percentage develop infection and of these, what percentage required surgical debridement of O tube sites in dogs and cats?
Cats - 17% infection, 22% surgical debridement
Dogs - 13% infection, 35% surgical debridement
Nathanson JVIM 2019