Five Risk Factors Identify Patients With Gastroesophageal Intussusception

Gowen, George F.

doi:10.1001/archsurg.134.12.1394

Cited by 24 publications

(21 citation statements)

References 10 publications

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“…GEI has been reported in different species, including adult and pediatric humans [10,11], dogs [3,7,12-19], domestic cats [4,20,21] and an adult leopard [22]. While the chronic recurrent form causes intermittent gastrointestinal signs, patients with acute persistent GEI present with an acute onset of clinical signs from esophageal obstruction, occasionally accompanied by respiratory distress caused by the intrathoracic mass effect and/or aspiration pneumonia [19,23].…”

Section: Discussionmentioning

confidence: 99%

“…In human medicine, adults are affected more often than children, and risk factors include eating disorders, alcohol abuse, sudden sustained exertion, small-bowel obstruction, acid bile peptic disease and pregnancy [10,11]. In cats, chronic intermittent GEI predominates [4,20,21], while dogs tend to develop the acute form of the condition [3,12,14,17,18,23].…”

Section: Discussionmentioning

confidence: 99%

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Acute gastroesophageal intussusception in a juvenile Australian shepherd dog: endoscopic treatment and long-term follow-up

et al. 2014

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BackgroundCanine gastroesophageal intussusception (GEI) is a rare and potentially fatal disease usually affecting puppies or young dogs < 3 months of age and of medium to large breeds. Surgical intervention has been advocated as the therapy of choice by most authors. Endoscopic treatment may offer an advantageous or alternative method of treatment.Case presentationGEI was diagnosed in a nine-week-old Australian Shepherd dog with an acute onset of vomiting and regurgitation and compatible radiographic findings on thoracic radiography. Treatment consisted of endoscopic gastric repositioning and placement of a percutaneous endoscopic gastrostomy (PEG) tube to prevent repeated dislocation of the stomach, and to allow for nutritional supplementation During a follow- up period of eight months, thoracic radiographs were obtained showing persistent esophageal dilatation in the absence of compatible clinical signs.ConclusionEndoscopic intervention is an effective, alternative in selected canine GEI- cases, allowing for rapid, minimally invasive confirmation of diagnosis and therapy. After initial treatment, radiographic long-term follow-up seems prudent even in asymptomatic patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute gastroesophageal intussusception in a juvenile Australian shepherd dog: endoscopic treatment and long-term follow-up

et al. 2014

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“…This case series describes the successful surgical management of three dogs with GOI with bilateral incisional gastropexy. In humans, the known risk factors for GOI include chronic alcoholism, eating disorders, sudden sustained physical exertion, bile acid peptic disease and pregnancy (Gowen et al 1999). Such risk factors have not been identified in dogs.…”

Section: Discussionmentioning

confidence: 99%

Surgical correction of gastro‐oesophageal intussusception with bilateral incisional gastropexy in three dogs

Murphy¹,

Nakamura²,

Miller

2015

J of Small Animal Practice

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Three dogs presented for evaluation of acute onset tachypnoea and dyspnoea following episodes of vomiting and/or regurgitation. Thoracic radiographs were suggestive of a gastro-oesophageal intussusception in all three dogs; one dog also showed evidence of aspiration pneumonia. All three dogs underwent surgical correction with a bilateral incisional gastropexy. All dogs recovered from anaesthesia uneventfully and were discharged from the hospital 3 days after presentation. Persistent megaoesophagus was evident in all three dogs, and they are being chronically managed with a strict feeding regime and pro-motility agents.

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“…This may cause gastroesophageal intussusception, a condition in which the stomach slides up and becomes enfolded within the esophagus. Gastroesophageal intussusception can cause obstruction and is a precursor to Mallory–Weiss tears, or tears at the membrane where the esophagus and upper part of the stomach meet . Both vomiting and binge‐eating/overeating were identified as risk factors for gastroesophageal intussusception in one retrospective study of 43 patients .…”

Section: Self‐induced Vomitingmentioning

confidence: 99%

“…71 Both vomiting and binge-eating/ overeating were identified as risk factors for gastroesophageal intussusception in one retrospective study of 43 patients. 71 A case study suggested that self-induced vomiting may cause hiatal hernia, but this is a rare complication. 72 A study of eating disorder patients found that irritable bowel syndrome had a prevalence of 68.8% and was associated with presence of self-induced vomiting.…”

Section: Gastrointestinal Tractmentioning

confidence: 99%

The medical complications associated with purging

Forney

Buchman‐Schmitt

Keel

et al. 2016

Intl J Eating Disorders

105

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Objective Purging behaviors, including self-induced vomiting, laxative abuse, and diuretic abuse, are present across many of the eating disorders. Here we review the major medical complications of these behaviors. Method Although we identified over 100 scholarly articles describing medical complications associated with purging, most papers involved case studies or small, uncontrolled samples. Given the limited evidence base, we conducted a qualitative (rather than systematic) review to identify medical complications that have been attributed to purging behaviors. Results Medical conditions affecting the teeth, esophagus, gastrointestinal system, kidneys, skin, cardiovascular system, and musculoskeletal system were identified, with self-induced vomiting causing the most medical complications. Conclusions Purging behavior can be associated with severe medical complications across all body systems. Mental health professionals should refer patients with purging behaviors to medical providers for screening and treatment as needed. The medical work-up for individuals with eating disorders should include a comprehensive metabolic panel, complete blood count, and a full body exam including the teeth to prevent severe complications. Medical providers should screen patients for purging behaviors and associated medical complications, even in the absence of an eating disorder diagnosis, to increase the detection of eating disorders. Recognizing the link between purging and medical complications can aid in identifying potential eating disorders, particularly those that often elude detection such as purging disorder.

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Five Risk Factors Identify Patients With Gastroesophageal Intussusception

Cited by 24 publications

References 10 publications

Acute gastroesophageal intussusception in a juvenile Australian shepherd dog: endoscopic treatment and long-term follow-up

Acute gastroesophageal intussusception in a juvenile Australian shepherd dog: endoscopic treatment and long-term follow-up

Surgical correction of gastro‐oesophageal intussusception with bilateral incisional gastropexy in three dogs

The medical complications associated with purging

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