Topic 13 - Diseases of the stomach in dogs and cats Flashcards
Anatomy of the stomach. Name the most important structures:
- Cardia
- Fundus
- Corpus
- Antrum
- Pylorus
Function of cardia:
Opening from esophagus to stomach. Prevents reflux of ingesta
Function of fundus:
Dilates during gastric filling to accommodate the amount of ingesta.
Function of corpus:
Glands secrete the stomach acids
Name the stomach acids:
HCL
Pepsin
Lipase
Function of antrum:
Muscular area, grinds food
Function of pylorus:
Filter to limit size of food passing into the intestines and prevents reflux of duodenal content
Blood supply of stomach:
Coeliac artery and vein
Nerve innervating the stomach:
Vagus nerve
Cardillac plexus
Gastric nerve
Clinical signs of gastric disease:
1. Vomiting
2. Anorexia
3. Weight loss
4. Hematemesis = bloody vomit
5. Abdominal pain
6. Abdominal distention
7. Diarrhoea
Name disease of the stomach:
- Acute gastritis
- Gastric erosive-ulcerative disease
- Chronic gastritis
- Delayed gastric emptying and gastric motility disorders
- Gastric dilation-volvulus syndrome
- Gastric neoplasia
Acute gastritis
Inflamed stomach
Happens more often in dogs, than cats
Acute gastritis, causes:
Spoiled food
Contaminated food
Foreign body
Toxic plants
Chemicals
Bacteria, virus, parasites
Acute gastritis, clinical signs:
- Acute vomiting
- Loss of appetite
- RARELY: fever, abdominal pain
Acute gastritis, how to diagnose:
By excluding other diseases:
- History and physical examination
- Improvement in 1-2 days
- If worsened after 1-3 days = carry out US, CBC, endoscopy
Acute gastritis, treatment:
- Fasting for 24 hours
- Antiemetics
- Fluid therapy or small amounts of cool water
- GI prescription diet: low fat and low fibre
Gastric erosive-ulcerative disease
Short = GEU
Stomach ulcers
Gastric erosive-ulcerative disease, predisposing factors:
Steroids
Metabolic disorders: Liver failure, acute pancreatitis
Toxins
Gastric erosive-ulcerative disease, how to diagnose:
- History
- Physical exam
- Lab exam
- Radiography
- Endoscopy
Gastric erosive-ulcerative disease, how to diagnose:
History
- Intermittent vomiting
- Haematemesis, melena
- acute onset of wekaness
- recent steroid/NSAID therapy
Gastric erosive-ulcerative disease, how to diagnose:
Physical exam
Often normal, but can be anaemic, abdominal pain and melena
Gastric erosive-ulcerative disease, how to diagnose:
Lab exam
- Anaemia
- Renal failure
- Liver disease
- Addisons
Gastric erosive-ulcerative disease, how to diagnose:
Radiography
Usually normal, but can see:
- peritonitis
- pneumopeitoneum
Gastric erosive-ulcerative disease, how to diagnose:
Endoscopy
We can do biopsy and differentiate between:
- superficial erosions
- benign ulcers
- mailgnant ulcers