Clinical findings and results of diagnostic imaging in 82 dogs with gastrointestinal ulceration

Fitzgerald, Ella; Barfield, Dominic; Lee, K C L; Lamb, Christopher R.

doi:10.1111/jsap.12631

Cited by 32 publications

(55 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the authors’ experience, this feature could be helpful for differentiating gastric pneumatosis from focal gastric ulceration. While focal gastric ulceration can also present with intraparietal gas, wall thickening, and loss of layering, these changes would be less likely to appear as diffuse as those seen in the current cases with gastric pneumatosis. Gastric distension was detected in four of our cases, which could possibly have caused mucosal damage.…”

Section: Discussionmentioning

confidence: 99%

Canine and feline emphysematous gastritis may be differentiated from gastric emphysema based on clinical and imaging characteristics: Five cases

Thierry

Ferreira

Paterson

et al. 2018

Vet Radiology Ultrasound

View full text Add to dashboard Cite

Gastric pneumatosis is an imaging finding defined as the presence of gas foci in the gastric wall. In humans, this imaging feature can result from one of two separate clinical entities: life-threatening emphysematous gastritis or clinically benign gastric emphysema. This retrospective case series study describes the clinical and imaging features in five animals diagnosed with spontaneous gastric pneumatosis without gastric dilatation-volvulus. Three canine and two feline cases of spontaneous gastric pneumatosis were identified on radiographic and ultrasonographic examinations. In addition to gastric pneumatosis, one dog and two cats presented concomitant systemic signs such as lethargy, hematemesis, anemia, or leukocytosis. Two dogs remained asymptomatic or presented mild gastrointestinal signs. Portal gas was described in two dogs and one cat, and pneumoperitoneum in one dog. These features were not considered clinically significant. The dog and two cats with systemic signs were euthanized due to clinical deterioration and diagnosed with emphysematous gastritis. The gastric pneumatosis of both dogs without systemic signs resolved while on medical management without antibiotic therapy. These latter cases were interpreted as consistent with gastric emphysema. Findings from the current study indicated that gastric pneumatosis can occur without gastric dilatation-volvulus in cats and dogs and that a combination of clinical and imaging characteristics may help to differentiate between potentially life-threatening emphysematous gastritis and relatively benign gastric emphysema. More studies are needed to determine the etiology and risk factors associated with these conditions. K E Y W O R D Scat, dog, gastric pneumatosis, pneumoperitoneum, portal gas

show abstract

Section: Discussionmentioning

confidence: 99%

Canine and feline emphysematous gastritis may be differentiated from gastric emphysema based on clinical and imaging characteristics: Five cases

Thierry

Ferreira

Paterson

et al. 2018

Vet Radiology Ultrasound

View full text Add to dashboard Cite

show abstract

“…Sensitivity of AFAST scanning compared to an ultrasound examination performed by a board-certified radiologist was 17 per cent and 65 per cent, respectively, for non-perforated ulcers, but went up to 79 per cent and 86 per cent when the ulcer was perforated (Fitzgerald and others 2017). …”

Section: Impact Of Nsaids On the Gi Tractmentioning

confidence: 99%

Monitoring side effects of long‐term NSAID use in dogs with chronic osteoarthritis

Lawson¹,

Walton²

2019

In Practice

View full text Add to dashboard Cite

Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly used analgesic medications in human and veterinary medicine. In osteoarthritis they are used for their anti-inflammatory and analgesic actions. A number of NSAIDs are licensed for use in dogs in the UK, and are affordable and easy to administer. However, their use is associated with a range of side effects, which can become particularly relevant in cases that require long-term treatment. This article reviews the adverse effects of NSAIDs and the current monitoring procedures in animals and people on long-term NSAID therapy. Emerging and alternative procedures for monitoring these patients are also discussed.

show abstract

“…Although seemingly rare, ICC perforation should be discussed with owners as a potential complication of ileoscopy when weighing the risks and benefits of the procedure. Endoscopic‐induced perforation should be considered as a differential diagnosis for animals with abdominal distention or clinical deterioration after endoscopy; abdominal radiography remains the imaging modality of choice for diagnosis …”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic-induced perforation should be considered as a differential diagnosis for animals with abdominal distention or clinical deterioration after endoscopy; abdominal radiography remains the imaging modality of choice for diagnosis. 18,19 Several risk factors have been associated with gastrointestinal perforation secondary to gastroduodenoscopy. Weight <10 kg is associated with increased risk of perforation in animals undergoing F I G U R E 2 Photographs obtain of the ICC junction surgically removed by resection and anastamosis from a dog 5 days after endoscopy.…”

Section: Endoscopymentioning

confidence: 99%

Multicenter retrospective evaluation of ileocecocolic perforations associated with diagnostic lower gastrointestinal endoscopy in dogs and cats

Woolhead

Whittemore

Stewart

2020

Veterinary Internal Medicne

View full text Add to dashboard Cite

Background Ileoscopy is increasingly performed in dogs and cats with gastrointestinal signs, but iatrogenic ileocecocolic (ICC) perforations have not been described. Hypothesis/Objectives To characterize endoscopic ICC perforations in dogs and cats. Animals Thirteen dogs and 2 cats. Methods This is a retrospective case series. Signalment, presentation, endoscopic equipment, colonic preparation, endoscopist's experience level, ileal intubation technique, method of diagnosis, perforation location, histopathology, management, and outcome data were collected and reviewed. Results Six ileal, 5 cecal, and 4 colonic perforations were identified between 2012 and 2019. Dogs weighed 2.4‐26 kg (median, 10.3 kg) and cats 4.6‐5.1 kg (median, 4.9 kg). Endoscopy was performed in dogs presented for vomiting (n = 4), as well as large (n = 5), mixed (n = 4), and small (n = 1) bowel diarrhea. Cats had large bowel diarrhea. Endoscopists included 1 supervised intern, 9 supervised internal medicine residents (2 first year, 6 second year, 1 third year), and 5 internal medicine diplomates. Diagnosis was delayed in 5 dogs, occurring 1‐5 days after endoscopy (median, 3 days); dogs were presented again with inappetence (n = 4), lethargy (n = 4), abdominal pain (n = 3), retching (n = 2), and syncope (n = 1). All animals underwent surgical correction. Histopathology did not identify lesions at the perforation site in any animal. Two dogs required a second surgery; 1 died 12 hours after surgery. Survival to discharge was 93%, with 78% surviving ≥8 months. Conclusions and Clinical Importance Iatrogenic endoscopic ICC perforation is not indicative of underlying disease and is associated with a good prognosis. Delayed diagnosis can occur. Therefore, perforation should be considered in the differential diagnosis for animals with clinical deterioration after endoscopy.

show abstract

Clinical findings and results of diagnostic imaging in 82 dogs with gastrointestinal ulceration

Cited by 32 publications

References 50 publications

Canine and feline emphysematous gastritis may be differentiated from gastric emphysema based on clinical and imaging characteristics: Five cases

Canine and feline emphysematous gastritis may be differentiated from gastric emphysema based on clinical and imaging characteristics: Five cases

Monitoring side effects of long‐term NSAID use in dogs with chronic osteoarthritis

Multicenter retrospective evaluation of ileocecocolic perforations associated with diagnostic lower gastrointestinal endoscopy in dogs and cats

Contact Info

Product

Resources

About