Diagnosis and management of malabsorption in dogs

Malabsorption can result from interference with either the degradation or absorption phases in the handling of dietary constituents and represents an important cause of weight loss and diarrhoea in dogs. Effective treatment depends on identification and understanding of the underlying disease which could affect the functional capacity of the exocrine pancreas or small intestine. Exocrine pancreatic insufficiency (EPI) can be identified by a low concentration of trypsin-like immunoreactivity in serum and results in serious malabsorption due to interference with degradation of carbohydrate, protein and fat. Treatment with oral pancreatic extract complemented by a low fat, high quality protein diet, is effective in many cases. Refractory cases may need additional treatment with an oral antibiotic for small intestinal bacterial overgrowth (SIBO), and H₂-receptor blockers to help prevent denaturation of the pancreatic extract by stomach acid. The pancreas plays a key role in the normal absorption of cobalamin (vitamin B₁₂) in dogs and malabsorption of cobalamin in EPI may not resolve with treatment so that cobalamin may need to be given parenterally. Small intestinal disease may result in interference with the number or functioning of individual enterocytes, in some cases accompanied by cellular infiltration of the mucosa. Diagnosis depends on indirect assessment of intestinal damage, for example by assay of serum vitamins and determination of intestinal absorption and permeability, and in selected cases followed by endoscopic examination, intestinal biopsy and culture of duodenal juice. Treatment depends on the disease and may include oral antibiotic for SIBO and immunosuppressive drugs for infiltrative disease. Dietary management is also important, for example with a restricted fat diet containing highly digestible carbohydrate and high quality protein, and when a dietary sensitivity is suspected a restriction diet of a selected protein source may be needed.     

New ideas for the dietary management of gastrointestinal tract disease

Drugs are often given inappropriate precedence in the treatment of gastrointestinal tract diseases. Diet has a marked influence on gastrointestinal tract function and the manipulation of dietary composition provides clinicians with a powerful therapeutic tool. During acute gastroenteritis, a short period of fasting is recommended. ‘Feeding through’ diarrhoea (without a period of fasting) is recommended in human infants but has limited applicability in dogs and cats, primarily because different types of diarrhoea are commonly treated by veterinary surgeons compared to physicians. Following the fast, a change from the animal's regular food to a diet containing novel protein sources is advisable. This minimises the likelihood of acquired food allergies to staple proteins. Allergy avoidance may require special techniques such as rotation diets or protein hydrolysates. Dietary fat is usually kept to a minimum during gastrointestinal dysfunction as malabsorbed fatty acids and bile acids promote secretory diarrhoea in the large bowel. Recommendations to feed high fat rather than high carbohydrate diets to cats with diarrhoea need to be objectively examined. The type of fat fed may also prove to be an important consideration. Incorporation of omega-3 fatty acids into the diet has been shown to have anti-inflammatory effects on the gastrointestinal mucosa. In diseases of the small bowel, it is traditional to use low fibre diets. This recommendation needs re-examination because the binding and gelling properties of fibre are of potential benefit in the treatment of small bowel diarrhoea. High fibre diets are useful in most large bowel diseases. Soluble (fermentable) fibres (eg, psyllium, oat bran and fibrim) rather than insoluble (non-fermentable) fibres (eg, wheat bran) give better results in treating colitis. The benefits from soluble fibre probably relates to the binding of irritant bile acids and the generation of volatile fatty acids, such as butyrate, that nourish the colonic epithelium and encourage growth of normal bacterial flora.     

日粮碳水化合物/蛋白质水平对240日龄不同品种猪肌内脂肪含量和胃肠道重量、长度及消化酶活性的影响

本试验旨在研究日粮碳水化合物/蛋白质水平对240日龄不同品种猪肌内脂肪(IMF)含量和胃肠道重量、长度及消化酶活性的影响,并探讨IMF含量与胃肠道重量、长度及消化酶活性的关系.试验采用2×2因子试验没计,即杜洛克×长白×大约克三元杂交猪(DLY)和太湖猪2个品种,每个品种分别饲喂高碳水化合物/低蛋白(HC/LP)和低碳水化合物/高蛋白(LC/HP)2种日粮.选用150日龄的DLY猪和太湖猪各12头,按体重相近、性别一致的原则共分为4个试验组,每个试验组6个重复,每个重复1头猪.饲养90 d后屠宰取样.结果表明:与LC/HP日粮相比,HC/LP日粮极显著提高了DLY猪的IMF含量(IMF为5.83%)(P<0.01),对太湖猪有提高的趋势(P>0.05),但2种日粮对2品种猪眼肌面积和背膘厚没有显著影响(P>0.05);HC/LP日粮显著(P<0.05)或极显著(P<0.01)降低了2品种猪的胰重和胰指数;无论在何种日粮下,太湖猪的胃、胰、小肠指数都极显著高于DLY猪(P<0.01);HC/LP日粮降低了2品种猪的消化酶活性,但对DLY猪的胰淀粉酶单位活性有所升高(P>0.05),其中对太湖猪的胃蛋白酶和胰脂肪酶活性的影响达到极显著水平(P<0.01).在LC/HP日粮下,太湖猪胰脂肪酶活性极显著高于DLY猪(P<0.01);在HC/LP日粮下,DLY猪的胰淀粉酶活性显著高于太湖猪(P<0.05).因此,HC/LP日粮在对2品种猪眼肌面积和背膘厚影响较小的情况下,可大幅度提高240日龄DLY猪的IMF含量,而大幅度降低了2品种猪的胰重和太湖猪的胃蛋白酶和胰脂肪酶活性,对2品种猪的胃、肝和小肠的重量或长度影响不大.     

Use of pulmonary hydrogen gas excretion to detect carbohydrate malabsorption in dogs

Pulmonary H2 excretion was measured in 10 healthy dogs, in 6 dogs with pancreatic exocrine insufficiency, and in 6 dogs with chronic small intestinal disease. Concentration of expired H2 in fasted healthy dogs was 0.9 +/- 0.1 ppm (mean +/- SEM) and peak H2 concentration of 1.4 +/- 0.2 ppm was detected up to 8 hours after feeding. Dogs with pancreatic exocrine insufficiency had fasting expired H2 concentrations of 3.3 +/- 0.9 ppm, which increased to a mean peak H2 concentration of 28.8 +/- 2.0 ppm 6.5 hours after feeding. Following xylose administration, expired H2 concentrations increased from fasting concentrations of 3.6 +/- 0.9 ppm to peak at 19.0 +/- 2.0 ppm in 1.5 hours. Blood xylose concentrations were diagnostic for carbohydrate malabsorption in 4 of 6 dogs with pancreatic exocrine insufficiency. Plasma p-aminobenzoic acid concentration identified bentiromide maldigestion in all dogs with pancreatic exocrine insufficiency. In 3 pancreatic exocrine insufficient dogs tested, pancreatic enzyme replacement therapy partially corrected carbohydrate malabsorption. Fasting expired H2 concentration was 5.3 +/- 1.3 ppm in dogs with chronic small intestinal disease and increased to a peak H2 of 72.2 +/- 18.0 ppm 7 hours after feeding. Following administration of xylose to dogs with chronic small intestinal disease, fasting expired H2 concentration increased from 3.0 +/- 1.0 ppm to a peak of 35.5 +/- 7.2 ppm at 2 hours. Blood xylose concentration was abnormal in only 2 of 6 dogs with chronic small intestinal disease. Results of these studies indicate that expired H2 analysis can identify carbohydrate malabsorption in dogs with pancreatic exocrine insufficiency or chronic small intestinal disease, and that pulmonary H2 testing is more sensitive than xylose absorption testing for the identification of carbohydrate malabsorption.     

The effect of different high‐fat diets on erythrocyte osmotic fragility,growth performance and serum lipid concentrations in male,Japanese quail (Coturnix coturnix japonica)

Poultry diets are formulated with additional animal fat or vegetable oils to improve growth rate and feed conversion efficiency. High‐fat diet feeding in rats and fish has been shown to result in alterations in the phospholipid composition and cholesterol content of the erythrocyte membrane, in turn affecting erythrocyte osmotic fragility. In contrast, the few studies performed using high‐fat diet feeding in avian species show no changes in erythrocyte osmotic fragility. This study made use of the Japanese quail as no data exists on investigation of this species with respect to high‐fat diet feeding and erythrocyte osmotic fragility. Fifty‐seven male quail were randomly divided into six groups and fed either a standard diet (commercial poultry feed) or one of five high‐fat diets (commercial poultry feed with 22% of either coconut oil, lard, palm oil, soya bean oil or sunflower oil on a weight/weight basis) for 12 weeks. All birds on the high‐fat diets were significantly heavier (p < 0.05) after the 12‐week feeding period, than when commencing the dietary intervention. Serum triglyceride concentrations of birds in all high‐fat diet groups were significantly lower (p < 0.05) than birds in the standard diet group, whereas only birds in the palm oil group had significantly lower (p < 0.05) serum cholesterol concentrations compared to the standard diet group. Fragiligrams of erythrocytes from birds in the various dietary groups were similar. High‐fat diet feeding with different types of additional fat did not affect the osmotic fragility of the quail erythrocytes. Feeding quail high‐energy diets of varying degrees of fatty acid saturation was well tolerated and did not seem to affect the overall health status of the birds. Resistance of avian erythrocytes to modification by excess dietary fat may be a general characteristic of avian erythrocytes.     

The nutritional management of gastrointestinal tract disorders in companion animals

Dietary protein, carbohydrates, fats and fibre have marked influences on gastrointestinal tract function and dysfunction. This article reviews the nutritional management of common gastrointestinal disorders in companion animals and introduces some of the current areas of research including probiotics, prebiotics, protein-hydrolysate diets, immunonutrition and dietary fibre.

Nutritional management of oesophageal disease revolves around varying the consistency of the diet and feeding the animal from an elevated container. Provision of bowel rest remains the mainstay of the management of acute gastroenteritis but food-based oral rehydration solutions are a useful adjunct. The recommended diet for chronic small bowel diarrhoea is a highly digestible, hypoallergenic, gluten-free, low-lactose and low-fat diet with modest amounts of fermentable fibre. The use of probiotics in the management of diarrhoea in companion animals has not yet been shown to be beneficial. It is likely that prebiotics will prove more effective than probiotics in the prevention of enteropathogenic infections.

Approximately 50% of cats in New Zealand that suffer from chronic idiopathic vomiting or diarrhoea will respond to a novel-protein-elimination diet and approximately 30% meet the diagnostic criteria for food sensitivity. Growing evidence supports the use of protein-hydrolysate diets in the management of inflammatory bowel disease and further advances in immunonutrition are expected. The dietary management of colitis should include a hypoallergenic diet with a fermentable fibre source.

Manipulation of the diet provides clinicians a powerful therapeutic strategy to be used alone or concurrently with drug therapy in the management of gastrointestinal disorders.     

The nutritional management of gastrointestinal tract disorders in companion animals

Dietary protein, carbohydrates, fats and fibre have marked influences on gastrointestinal tract function and dysfunction. This article reviews the nutritional management of common gastrointestinal disorders in companion animals and introduces some of the current areas of research including probiotics, prebiotics, protein-hydrolysate diets, immunonutrition and dietary fibre. Nutritional management of oesophageal disease revolves around varying the consistency of the diet and feeding the animal from an elevated container. Provision of bowel rest remains the mainstay of the management of acute gastroenteritis but food-based oral rehydration solutions are a useful adjunct. The recommended diet for chronic small bowel diarrhoea is a highly digestible, hypoallergenic, gluten-free, low-lactose and low-fat diet with modest amounts of fermentable fibre. The use of probiotics in the management of diarrhoea in companion animals has not yet been shown to be beneficial. It is likely that prebiotics will prove more effective than probiotics in the prevention of enteropathogenic infections. Approximately 50% of cats in New Zealand that suffer from chronic idiopathic vomiting or diarrhoea will respond to a novel-protein-elimination diet and approximately 30% meet the diagnostic criteria for food sensitivity. Growing evidence supports the use of protein-hydrolysate diets in the management of inflammatory bowel disease and further advances in immunonutrition are expected. The dietary management of colitis should include a hypoallergenic diet with a fermentable fibre source. Manipulation of the diet provides clinicians a powerful therapeutic strategy to be used alone or concurrently with drug therapy in the management of gastrointestinal disorders.     

Experiments to optimize enzyme substitution therapy in pancreatic duct-ligated pigs

Ligation of the pancreatic duct in pigs leads to severe maldigestion and malabsorption of crude nutrients. Supplementation with 24 capsules of Creon (Solvay Pharmaceuticals GmbH, Hannover, Germany) per meal led to an increased digestibility of crude nutrients. With regard to optimization of the treatment of EPI no essential improvements can be achieved by adding omeprazol or lecithin to the diet. In pancreatic duct-ligated pigs the isolated addition of omeprazol led to an increase of the pre-caecal digestibility of crude fat and organic matter. With additional enzyme substitution, the application of omeprazol did not result in an improved fat digestibility. Isolated addition of lecithin to the diet resulted in a reduced total digestibility of crude fat. Offering the diet twice a day and using a higher frequency of enzyme applications (four or six instead of only two applications) had no effects on the digestibilty of crude fat or organic matter. According to the observations in pancreatic duct-ligated pigs, the addition of missing enzymes to the diet led to the best treatment results in EPI. Administration of omeprazol or a higher feeding frequency as well as the application of enzymes in small proportion of the whole meal or dosages given consecutively over the day showed no advantages. Furthermore, the present study suggests that the addition of lecithin cannot be recommended in EPI, when given diets with butter as the predominant fat source as in human dietetics.     

Energy balance of lactating primiparous sows as affected by feeding level and dietary energy source

The effects of feeding level and major dietary energy source used during lactation on sow milk composition, piglet body composition, and energy balance of sows were determined. During a 21-d lactation, 48 primiparous sows were fed either a Fat-rich (134.9 g/kg fat; 196.8 g/kg carbohydrate) or a Starch-rich (33.2 g/kg fat; 380.9 g/kg carbohydrate) diet at either a High (44 MJ NE/d; 1,050 g protein/d) or a Low (33 MJ NE/d; 790 g protein/d) feeding level. Within each feeding level, the two diets were fed to provide an isocaloric and isonitrogenous intake. At the Low feeding level, no differences in milk production, milk composition, or piglet body composition were found as a result of feeding the two dietary energy sources. However, at the High feeding level, sows fed the Fat-rich diet produced higher milk fat (8.4 vs 6.9%) and milk energy (5.38 vs 4.77 kJ/g) concentrations and a higher piglet body fat concentration (152.1 vs 135.4 g/kg) than sows fed the Starch-rich diet. At the Low feeding level, the energy balance (d 6 to d 20) of the sows was similar when fed either the Fat- or the Starch-rich diet (-558 and -515 kJ x BW(-.75) x d(-1)), but at the High feeding level, the energy balance was more negative in sows fed the Fat than those fed the Starch-rich diet (-544 vs -372 kJ x BW(-.75) x d(-1)). This suggests that at the High feeding level, dietary energy in the form of fat is preferentially used for milk fat synthesis, resulting in growth and in fatter piglets. Alternatively, at the High feeding level, Starch as the major energy source is used only for growth of the piglets, as confirmed by protein deposition, and also results in a less-negative energy balance for the sows. From this experiment, it can be concluded that effects of substituting cornstarch for fat in the diet of lactating sows on milk composition, piglet body composition, and energy balance of the sows are dependent on feeding level.     

Short Bowel Syndrome—A case report in a dog and discussion of the pathophysiology of bowel resection

An 8-year-old dog was investigated because of severe diarrhoea and weight loss following massive intestinal resection 15 months earlier. Positive contrast radiographic studies demonstrated (1) a short bowel with an increased diameter, (2) the absence of an ileo-colic sphincter, and (3) a rapid transit time. Para-amino benzoic acid (PABA) and xylose absorption tests, and quantitative twenty-four hour faecal fat analysis demonstrated mildly reduced PABA absorption, marked xylose malabsorption, and steatorrhoea. Complete control of diarrhoea was achieved by the administration of a low-fat diet. An elemental diet supplement containing amino-acids, simple sugars, minerals and vitamins, and medium chain triglyceride oil were subsequently used in an attempt to improve nutrition. Oral antibiotics were prescribed in an attempt to reduce the suspected overgrowth of bacteria in the small intestine. The long-term effects of dietary supplements and antibiotics could not be assessed because the dog was destroyed after a sudden deterioration in condition, probably due to severe gastric ulceration observed at autopsy. The pathophysiologic changes associated with intestinal resection are discussed in relation to possible therapeutic measures.     

Fat malassimilation in three cats

Three cats were thin despite eating well. Steatorrhoea was confirmed in each by 72-hour fat assimilation tests. Fat digestibility in all 3 increased twofold when the diet was supplemented with pancreatic enzymes, suggesting the possibility of exocrine pancreatic insufficiency. However, examination of stained faecal smears gave evidence of both maldigestion and malabsorption of fat, without maldigestion of starch, and only one case had indications of protein maldigestion. In the latter cat, fat digestibility normalised with pancreatic enzyme supplementation and exocrine pancreatic insufficiency was considered likely. However, at post-mortem examination enteropathy and pancreatitis, but not exocrine pancreatic insufficiency, were found. The cause of fat malassimilation in these cats was unknown. The evaluation of malassimilation in cats is difficult because investigative tests used in other species are either unsuitable or have not been evaluated in cats.     

Effects of high carbohydrate and high fat diet on plasma metabolite levels and on i.v. glucose tolerance test in intact and neutered male cats

To elucidate the impact of dietary influence on carbohydrate and lipid metabolism and on the development of diabetes mellitus in the carnivorous cat, a 3 weeks feeding trial was carried out on six sexually intact and six neutered adult male cats. The effects of two isonitrogenic diets, differing in carbohydrate and fat content, were investigated on plasma metabolite levels in a 24-h blood sampling trial. Plasma leptin concentrations were also determined at the beginning and at the end of the 24-h trial. Glucose and insulin response was measured in an i.v. glucose tolerance test. A 5 days long digestion trial was also performed, which revealed a high digestion capacity of both fat and carbohydrates in cats. The high fat diet induced a significant rise in the plasma triglyceride, FFA, beta-hydroxybutyrate and cholesterol concentration, while the elevation in the glucose level did not reach significance. In the glucose tolerance test no significant difference was found between the neutered and intact cats. However, independently of the sexual state, the cats on the high fat diet showed a slightly elongated glucose clearance and reduced acute insulin response to glucose administration. This is indicative of diminished pancreatic insulin secretion and/or beta-cell responsiveness to glucose. The results of this preliminary study may be the impetus for a long-term study to find out whether it is rather the fat rich ration than carbohydrate rich diet that is expected to impair glucose tolerance and thus might contribute to the development of diabetes mellitus in cats. Whether the alteration in glucose metabolism is due to altered leptin levels remains to be determined.     

Chronic diarrhoea in adult horses: a review of 51 referred cases.

A retrospective analysis of the clinical and laboratory findings from 51 adult horses with chronic diarrhoea revealed that the most common conditions were larval cyathostomiasis (14 cases), idiopathic chronic colitis (nine cases) and alimentary lymphoma (five cases). Five animals had diarrhoea as a result of non-alimentary disease. A diagnosis was reached in 37 cases, but only 15 were made ante mortem. Among the 18 animals (35 per cent) which survived, there were five cases of larval cyathostomiasis, one case of colonic impaction and 12 cases were undiagnosed. The most frequent abnormalities detected in blood samples from the horses were neutrophilia, hypoalbuminaemia, hyperglobulinaemia and high alkaline phosphatase activity. Evidence of carbohydrate malabsorption was found in 16 of 28 cases in which oral glucose tolerance tests were performed. No diagnostic specificity was apparent in either the clinical signs or the laboratory findings.     

Lipoprotein metabolism and hyperlipidaemia in the clog and cat: A review

The term hyperlipidaemia is used to describe raised plasma concentrations of cholesterol and, or, triglycerides. These aqueous insoluble lipids are transported through plasma in special particles called lipoproteins of which there are four main types; chylomicrons, very low density lipoproteins (VLDL), low density lipoproteins (LDL) and high density lipoproteins (HDL). A transient rise in plasma triglycerides occurs following a meal as dietary fat is carried from the small intestine into the circulation by chylomicrons; this is called post prandial hyperlipidaemia. In addition, hyperlipidaemia is caused by defects in the metabolism of one or more of the lipoprotein classes which may be either genetic in origin or, more commonly in the dog and the cat, secondary to diabetes mellitus, hypothyroidism, hyperadrenocorticism, and renal and hepatic disease. Hypertriglyceridaemia is caused by reduced clearance of chylomicrons and VLDL, sometimes with overproduction of VLDL, whereas hypercholesterolaemia results from altered metabolism of LDL and HDL. Raised plasma triglycerides interfere with a number of clinical chemistry tests and may be associated with cutaneous xanthomata, vomiting and diarrhoea, peripheral nerve paralyses, seizures, pancreatitis, hepatosplenomegaly and lipaemia retinalis. The clinical manifestations of hypercholesterolaemia in the dog are few and largely confined to the eye. Diagnostic efforts should concentrate on determining whether the hyperlipidaemia is either genetic in origin or secondary to endocrine and systemic diseases. Plasma lipid concentrations usually return to normal with effective therapy of any underlying disease. Where no such disease can be identified, the hyperlipidaemia should be considered idiopathic in origin and the patient placed on a low fat diet.     

Effects of dietary chitosan on fat deposition and lipase activity in digesta in broiler chickens

1. The effect of dietary chitosan on fat deposition and lipase activity in the small intestinal contents was investigated in broiler chickens fed an adequate or high metabolisable energy (ME) diet. 2. Male broiler chickens at 14 d old were fed on the adequate or high ME diet supplemented with 0 or 50 g/kg chitosan, which has a low viscosity, for 3 weeks. 3. Dietary chitosan did not affect food intake, body weight gain or food efficiency in either dietary ME groups. 4. Dietary chitosan reduced the excessive abdominal fat deposition induced by the high ME diet. 5. Dietary chitosan increased the weight of intestinal contents irrespective of dietary ME concentration. 6. Dietary chitosan decreased the lipase activity per g of small intestinal contents. 7. These results suggest that dietary chitosan with low viscosity decreases lipase activity and fat absorption in the small intestine, consequently resulting in a reduction of fat deposition in broiler chickens. 8. It was concluded that dietary chitosan with low viscosity can decrease body fat deposition without reducing food intake and body weight gain in broiler chickens.     

Pre-weaning supplementary feed and porcine post-weaning diarrhoea

Attempts were made to induce an intestinal hypersensitivity response to weaner diet by feeding pigs with small quantities of this material before weaning. In two trials using different weaner diets piglets subjected to this regimen showed no significant differences in small intestinal structure, in ability to absorb xylose, in bodyweight gain, in incidence of diarrhoea or excretion of enteropathogens after weaning compared with pigs not given any of the diet before weaning, or fed with a different diet before weaning. When post-weaning diarrhoea occurred it was associated with an earlier, more prolonged and greater proliferation of enterotoxigenic Escherichia coli in the small intestines than occurred in healthy pigs after weaning. The greater proliferation in pigs which developed diarrhoea could not be attributed either to an excessive dietary intake after weaning, or to a specific proliferation of rotaviruses.     

Determination of fecal fat and trypsin output in the evaluation of chronic canine diarrhea.

Quantitative fat and trypsin analysis was done on the feces of dogs with chronic diarrhea. The results of clinical examination, quantitative fecal analysis, and other laboratory tests permitted assignment of the dogs into one of 4 groups: (1)pancreatic exocrine insufficiency,(2)small intestinal malabsorption,(3)colitis, and(4)other nonspecific or incompletely diagnosed diarrhea. The mean 24-hour fat output was significantly higher (p less than 0.01) in dogs with malabsorption or pancreatic insufficiency than in clinically normal dogs, dogs with colitis, or dogs with nonsteatorrheic diarrheas. The mean 24-hour trypsin output with pancreatic insufficiency was significantly (P less than 0.01) lower, and in dogs with malabsorption, significantly (P less than 0.05) higher than in clinically normal dogs. Normalization of the output data for body weight enhanced the value of fat and trypsin analyses in the differentiation of pancreatic insufficiency and intestinal malabsorption from other causes of chronic canine diarrhea.     

Fucosidosis in an English Springer Spaniel presenting as a malabsorption syndrome

A case of alpha-fucosidosis in a 2-year-old male English Springer Spaniel presented as a malabsorption syndrome without any clinical neurological abnormalities. The dog had a history of chronic weight loss, diarrhoea, mild anaemia, hypoproteinemia and reduced jejunal absorption of D-xylose. A diagnosis of fucosidosis with intestinal malabsorption was based on these findings, markedly reduced plasma fucosidase levels and the diffuse infiltration of the lamina propria and submucosa of the stomach, small intestine, Peyer's patches and mesenteric lymph nodes by macrophages with finely vacuolated cytoplasm. Cytoplasmic vacuolation was also a feature of cells of the pancreas, thryroid, parathyroid and adenohypophysis and the epithelia lining respiratory airways and the urogenital tract. Neurons of the autonomic plexuses of the gastrointestinal tract and the urinary bladder as well as those of the brain, spinal cord, spinal ganglia and retina were also vacuolated. The profound decrease in sigma-fucosidase activity in the brain, liver and kidney was accompanied by a marked increase in 6 other lysosomal enzymes, especially beta-n-acetyl glucosaminidase.     

Reproduction of severe gastroesophageal ulcers (GEU) in gnotobiotic swine infected with porcine Helicobacter pylori-like bacteria

Groups of gnotobiotic piglets were orally inoculated at 3 days of age with either Helicobacter heilmannii (Hh) or a newly described porcine-origin gastric Helicobacter pylori (Hp)-like bacterium. Three Hh-infected and 6 porcine Hp-like-infected swine were fed a milk replacement diet containing 5-10% (v/v) sterile corn syrup as a dietary source of fermentable carbohydrate. None of the piglets infected with Hh and supplemented with corn syrup developed gastric mucosal ulcers; 2 developed small erosive lesions in the pars esophagea. In contrast, all 6 dietary carbohydrate-supplemented Hp-like-infected swine developed severe gastroesophageal ulcers; 1 of these ex-sanguinated into the stomach and died before the end of the experiment. Four of these 6 piglets had grossly evident partially digested blood in the intestinal lumens, indicative of bleeding into the gastrointestinal tract from the stomach. These data suggest that a high carbohydrate diet and gastric colonization by porcine Hp-like bacteria facilitate development of clinically significant gastroesophageal ulcers.     

Lack of advantage of high‐fibre,moderate‐carbohydrate diets in dogs with stabilised diabetes§

Objectives : To assess the influence of high‐fibre, moderate‐carbohydrate diets with two levels of dietary fat, compared with a commercial diet with moderate‐fibre, low‐carbohydrate and higher fat, on insulin requirement, glycaemic control and lipid profile of dogs with stabilised diabetes. Methods : Twelve dogs with spontaneous diabetes mellitus were studied. Glycaemic control was evaluated by plasma fructosamine, glycosylated haemoglobin and 48‐hour serial blood glucose measurements. The insulin dosage required to maintain clinical stability was also determined. Lipid profiles comprised serial measurements of plasma cholesterol, triglyceride, free glycerol and free fatty acids. Data were analysed using analysis of variance. Results : There were no significant differences in insulin requirement or glycaemic control among diets. Weight loss occurred when the dogs were fed the high‐fibre, moderate‐carbohydrate, moderate‐fat diet (P<0·002), whereas weight was maintained with the other two diets. The high‐fibre, moderate‐carbohydrate, moderate‐fat diet resulted in lower mean plasma cholesterol compared with either of the higher‐fat diets (P≤0·003), and lower mean plasma triglyceride (P=0·060), free fatty acid (P<0·001) and free glycerol (P=0·015) than the commercial diet. Clinical Significance : For stable diabetic dogs, high‐fibre, moderate‐carbohydrate diets offered no significant advantage compared with a commercial diet with moderate fibre and low carbohydrate. Diets with high fibre, moderate carbohydrate and moderate fat should not be routinely recommended for dogs with thin body condition.