lecture 18 - gastric sx of small animal

Question 1

Tell me the stomach blood supply

Answer 1

L. gastric: arises from celiac trunk, inserts on lesser curvature
R. gastric: from celiac trunk;
R. gastroepiploic: from splenic; supports pylorus
L. gastroepiploic: from splenic; supports greater curve
Short gastric; from splenic

Question 2

1. what kind of suture to use?
2. what is bad?
3. needle type?

Answer 2

1. synthetic, monofilament, absorbabale
2. natural, multifilament (wicks, absorbs too fast)
3. TAPER not cutting

Question 3

expect what lab abnormalities with stomach FB?

Answer 3

hemoconcentration (dehydration), low Na/Cl/K, hypokalemic alkalosis

Question 4

emesis for fb

in cats?

in dogs?

Answer 4

xylazine (iffy)

apomorphine (better)

Question 5

(upper gi bleeding)

1. will see what on bloodwork?

(in sx)

2. look for what on…

stomach/duodenum?

pancreas?

Answer 5

1. microcytic/hypochromic anemia (Fe loss), abnormal electrolytes, acid/base abnormalities
2. wall thickening, serosal changes

nodules (-> gastrinoma)

Question 6

what things cause similar signs as gastric neoplasia

Answer 6

renal/liver dz, pancreatitis, hypoadrenocorticism