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The case reported here describes a rare presentation of necrotising, emphysematous oesophagitis and gastritis in a horse presenting for signs of anorexia, dysphagia and ptyalism. Radiography of the retropharyngeal region revealed intramural gas within the cranial oesophagus. Further diagnostic evaluation supported an ante mortem diagnosis of emphysematous oesophagitis with concurrent septic pleuritis and peritonitis. Post mortem findings confirmed an emphysematous, necrotising oesophagitis and gastritis with a Clostridium sp. transmural infection. To our knowledge, this case describes the first recorded ante mortem diagnosis of emphysematous oesophagitis with concurrent gastritis in the horse. 相似文献
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Tilemahos L. Anagnostou George M. Kazakos Ioannis Savvas Charalampos Kostakis Paraskevi Papadopoulou 《Veterinary anaesthesia and analgesia》2017,44(1):35-41
Objective
The aim of this study was to investigate whether an increased frequency of gastro-oesophageal reflux (GOR) is more common in large-sized, deep-chested dogs undergoing spinal surgery in sternal recumbency than in small-sized, barrelchested dogs.Study design
Prospective, cohort study.Animals
Nineteen small-sized, barrel-chested dogs (group B) and 26 large-sized, deep-chested dogs (group D).Methods
All animals were premedicated with intramuscular (IM) acepromazine (0.05 mg kg?1) and pethidine (3 mg kg?1) IM. Anaesthesia was induced with intravenous sodium thiopental and maintained with halothane in oxygen. Lower oesophageal pH was monitored continuously after induction of anaesthesia. Gastro-oesophageal reflux was considered to have occurred whenever pH values > 7.5 or < 4 were recorded. If GOR was detected during anaesthesia, measures were taken to avoid aspiration of gastric contents into the lungs and to prevent the development of oesophagitis/oesophageal stricture.Results
The frequency of GOR during anaesthesia was significantly higher in group D (6/26 dogs; 23.07%) than in group B (0/19 dogs; 0%) (p = 0.032). Signs indicative of aspiration pneumonia, oesophagitis or oesophageal stricture were not reported in any of the GOR cases.Conclusions and clinical relevance
In large-sized, deep-chested dogs undergoing spinal surgery in sternal recumbency, it would seem prudent to consider measures aimed at preventing GOR and its potentially devastating consequences (oesophagitis/oesophageal stricture, aspiration pneumonia). 相似文献4.
Oesophageal diseases are less frequently reported in equine veterinary practice in comparison with other alimentary pathologies. This paper describes the prevalence, age, breed and sex distribution, the duration of clinical presentation before admission, the diagnosis, aetiology, treatment course, complications, length of hospitalisation, and the short‐term and long‐term survival of 39 cases with equine oesophageal disorders at a referral clinic. Prevalence of oesophageal disorders was significantly higher in the group of horses up to 4 years of age in comparison with other age groups. The most common oesophageal disorder was simple obstruction represented by 22/39 cases (56.41%). The common complications of the oesophageal disorder were oesophagitis (16/39, 41.02%) and aspiration pneumonia (11/39, 28.20%); 31/39 (79.49%) of all oesophageal cases survived up to clinical discharge. Long‐term survival was 65.78% in this group of cases. 相似文献
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