Gastric dilatation-volvulus in dogs

Gastric dilatation-volvulus (GDV) is a disease in which there is gross distension of the stomach with fluid or gas and gastric malpositioning. It causes pathology of multiple organ systems and is rapidly fatal. It is common in large- and giant-breed dogs. The disease appears to have a familial predisposition. Thoracic depth/width ratio also appears to predispose dogs to GDV. Implicated dietary factors include dietary particle size, frequency of feeding, speed of eating, aerophagia and an elevated feed bowl. A fearful temperament and stressful events may also predispose dogs to GDV. Abdominal distension, non-productive retching, restlessness, signs of shock, tachypnoea and dyspnoea are possible clinical signs. Initial treatment includes treatment of shock and gastric decompression. Surgical treatment should be performed promptly. There are no studies comparing the use of different anaesthetic agents in the anaesthetic management of GDV. Pre-medication with an opioid/benzodiazepine combination has been recommended. Induction agents that cause minimal cardiovascular changes such as opioids, neuroactive steroidal agents and etomidate are recommended. Anaesthesia should be maintained with an inhalational agent. Surgical therapy involves decompression, correction of gastric malpositioning, debridement of necrotic tissue, and gastropexy. Options for gastropexy include incisional, tube, circumcostal, belt-loop, incorporating, and laparoscopic gastropexy. Expected mortality with surgical therapy is 15–24%. Prognostic factors include mental status on presentation, presence of gastric necrosis, presence of cardiac arrhythmia and plasma lactate levels. Prophylactic gastropexy should be considered in dogs identified as being at high risk.     

Pneumatosis in Canine Gastric Dilatation-Volvulus Syndrome

Retrospectively, 243 dogs with radiographic evidence of gastric dilatation-volvulus (GDV) were studied for radiographic signs of pneumatosis (intramural gas), pneumoperitoneum, splenomegaly, and severity of gastric distention. The sensitivity, specificity, and predictive value of these imaging signs as predictors of gastric wall necrosis, as determined by visual inspection at surgery or necropsy, were determined. The sensitivity and specificity of gastric pneumatosis were 14.1% and 92.7%, respectively. The prevalence of gastric wall necrosis was 26.6%. The positive and negative predictive values of gastric pneumatosis for predicting gastric necrosis were 40.9% and 74.9%, respectively. Gastric pneumatosis and pneumoperitoneum were identified together in four dogs. Pneumoperitoneum, either alone or in conjunction with pneumatosis, yielded similar results as a test for gastric necrosis. Splenomegaly and severity of gastric distention were insensitive and nonspecific for gastric wall necrosis. Splenomegaly did not predict the need for splenectomy at surgery. Although pneumatosis and pneumoperitoneum are relatively specific signs of gastric wall necrosis, the utility of these signs as a test for gastric necrosis is limited in clinical practice. The significance of pneumatosis should be taken into consideration with previous treatments for gastric decompression, as percutaneous gastric trocharization or orogastric intubation may increase the number of false-positive results.     

猪胃溃疡的发生机制及酸化剂对其的影响

受传统“无酸无溃疡”观念的影响,在酸化剂普遍应用于饲料端和养殖端的今天,人们较为关注酸化剂是否影响猪胃的健康、是否促进了胃溃疡的发生。猪胃不同区域的功能存在差异,胃溃疡发生的频率和机理明显不同。从胃黏膜的结构、胃酸、胃蛋白酶和胆汁等方面阐述了猪胃溃疡的发生机制,并对酸化剂是否加剧胃溃疡的发生进行综述,以期为酸化剂的合理应用提供参考。     

犬人造胃瘘管手术案例分析

[目的] 满足犬食道摘除手术,或生理性实验犬的饲喂及采集样品需要,进行试验性犬人造胃瘘管手术。[方法] 选取5只中等及大型犬,通过术前准备和检查,并做全身吸入麻醉。在腹底胃区切开皮肤,分离肌肉,拉出胃大弯,在无血管处切开胃壁,放入人造瘘管。对胃壁浆膜肌层进行双层荷包缝合。对腹壁肌肉进行结节对接缝合。术后使用聚维酮碘软膏或油剂注入肌肉与瘘管间隙,加速肉芽形成。手术6个月后对2只犬进行肉芽组织采样做病理切片。[结果] 5只犬术后15~25 d创口均取得良好愈合,并可以适应流食饲喂;通过病理学观察发现,肉芽组织生长良好,均为成熟肉芽。[结论] 该手术方法可为今后由于病理性原因进行造瘘术和生理实验手术提供实践依据。     

Research Progress on Prevalence of Horse Gastric Myiasis

Horse gastric myiasis is a chronic wasting parasitosis caused by larvae of Gasterophilus spp. parasitics on the gastrointestinal tract of the equids. Horse gastric myiasis leads to host highly anaemic, angular, poisoning even death. This disease is distributes all over the world, each country has a slightly different epidemic law, because of different geographical position and climatic environment, and whether using insect repellent or not. Our country is mainly popular in the Northeast, Northwest and Inner Mongolia, which of 6 kinds of popular horse Gastrophilus, and the dominant species are G. intestinalis and G. nasalis. In this paper,the author described the infections of horse gastric myiasis at home and abroad in recent years, summarized epidemic law and put forward the research direction, so as to provide reference for the disease prevention and control.     

马胃蝇蛆病流行病学研究进展

马胃蝇蛆病是由马胃蝇幼虫寄生于马属动物胃肠道内所引起的一种慢性消耗性寄生虫病,导致宿主高度贫血、消瘦、中毒,严重时衰竭死亡。该病呈世界性分布,不同国家因地理位置、气候环境不同及是否广泛使用驱虫药,呈现出不同的流行规律。在中国主要流行于东北、西北及内蒙古等地,流行6种马胃蝇,以肠胃蝇、红尾胃蝇为优势虫种。文章主要对近些年国内外马胃蝇蛆病感染情况进行描述,总结流行规律,提出研究方向,以期为该病的防制提供参考。     

Presumptive Intramural Gastric Hemorrhage Secondary to Rodenticide Intoxication in a Dog

A dog being treated for demodicosis with ivermectin was presented for intermittent vomiting. The vomiting progressed to hematemesis and an underlying coagulopathy was diagnosed. The etiology of the coagulopathy was determined to be ingested brodifacoum. Ultrasound evaluation of the abdomen revealed thickened gastric wall that was suspected to be intramural hemorrhage. Most likely, the intramural hemorrhage and resulting thickening of the stomach wall led to the clinical signs and metabolic alkalosis. This case represents an typical presentation of hemorrhage secondary to rodenticide intoxication. (J Vet Emerg Crit Care 2001; 11(1):27–31, 2001).     

Gastric impaction associated with displacement and volvulus of the large colon in seven mature horses

Gastric impaction associated with large colon volvulus (LCV) was identified in seven horses. Right dorsal displacement of the large colon and suspected nephrosplenic entrapment was identified in 2 of the 7 horses as well as LCV with concurrent gastric impaction. All horses underwent surgery for LCV and none survived. Five horses died or were subjected to euthanasia intraoperatively or in recovery. One horse was subjected to euthanasia post operatively due to persistent gastric reflux, following resolution of the gastric impaction. One horse was subjected to euthanasia post operatively due to a suspected gastric rupture, which was confirmed on post mortem examination. It is hypothesised that a large mass in the cranial abdomen, such as a gastric impaction may disrupt the normal anatomical large colon alignment or may cause colonic motility or microbiota alterations, and thus increase the risk of large colon displacement and volvulus.     

Isolation of Arcanobacterium pyogenes from the Porcine Gastric Mucosa

Arcanobacterium (Actinomyces) pyogenes is an inhabitant of the mucous membranes of the respiratory and genital tracts of a number of domestic animal species. However, following a precipitating physical or microbial insult, A. pyogenes can become an opportunistic pathogen, associated with suppurative infections. The isolation of A. pyogenes from the bovine ruminal wall indicated that this organism may also inhabit the gastrointestinal tract of, at least, cattle. To determine whether A. pyogenes was also present on the gastric mucosa of a monogastric animal, porcine stomachs were cultured for the presence of this organism. Of 13 stomachs samples. A. pyogenes was isolated from 5 (39%). The identity of the organism was confirmed by PCR with primers specific to the plo gene, which encodes the A. pyogenes haemolytic exotoxin pyolysin. In addition, an isolate from each positive stomach was subjected to 16S rRNA gene sequencing and the identification as A. pyogenes was confirmed. These data indicate that A. pyogenes may be resident on the gastric mucosa of pigs.     

Gastric squamous cell carcinoma in the horse: Seven cases (2009–2019)

This report describes gastric squamous cell carcinoma (GSCC) in seven horses. It records the clinical signs, treatment and outcomes. Main clinical signs were mostly nonspecific and included weight loss, anorexia, fever, tachycardia and tachypnoea. Some more suggestive clinical signs were observed such as recurrent choke, halitosis and hypersalivation. Chronic anaemia and hypoalbuminaemia were common findings. Gastroscopy identified a gastric mass in four cases (57.1%); however, visualisation of the stomach was precluded in the other three horses due to distal oesophageal neoplastic infiltration and compression. Gastric wall thickening was noticed using abdominal ultrasonography in four horses (57.1%). Neoplastic cells could only be detected in the peritoneal fluid of 2 out of 7 horses. Endoscopic-guided or transabdominal ultrasound-guided biopsies allowed an ante-mortem diagnosis in three horses (42.8%). Gastric masses were identified at post-mortem examination and metastasis were confirmed in the liver and/or the spleen for 4/4 cases. In the cases for which palliative therapy was attempted, most of the horses were subjected to euthanasia within 4 weeks. In conclusion, GSCC is an uncommon neoplastic disease in horses. A combination of diagnostic tests is often necessary to achieve a diagnosis, which is frequently only made late in the course of the disease. As a result, GSCC is commonly associated with a poor short-term prognosis.     

一氧化氮和内皮素在窒息新生大鼠胃黏膜损伤中的作用

本研究旨在探讨围产期窒息时内皮素( ET)和一氧化氮 ( NO)的变化与急性胃黏膜损伤的关系及 NO的前体 L-精氨酸 ( L-Arg)和NO合成酶抑制剂 L-硝基 -精氨酸甲酯 ( L-NAME)在胃黏膜损伤中的作用。结果显示窒息组血浆 ET和胃壁 NO水平显著高于正常对照组 ( p<0 .0 1 ) ,胃黏膜损伤明显 ;L -Arg组血浆ET水平较窒息组显著下降 ( p <0 .0 1 ) ,血浆和胃壁 NO含量则显著升高 ( p <0 .0 1 ) ,胃黏膜损伤减轻 ;L-NAME组血浆 ET水平和 L I显著高于正常对照组和 L -Arg组 ( p <0 .0 1 ) ,血浆和胃壁 NO含量较 L-Arg组显著下降 ( p <0 .0 1 ) ,表明围产期窒息时 NO和 ET的变化与胃黏膜损伤的程度密切相关。NO在围产期窒息时有保护胃黏膜的作用 ,而 ET则作用相反。L -Arg的保护作用和 L -NAME的损伤作用均是通过 NO的变化来实现的。