Sellon Rance K, Willard Michael D
Department of Veterinary Clinical Sciences, Washington State University, PO Box 7060, Pullman, WA 99164-7060, USA.
Vet Clin North Am Small Anim Pract. 2003 Sep;33(5):945-67. doi: 10.1016/s0195-5616(03)00075-5.
Esophagitis and esophageal strictures are important causes of esophageal disease in dogs and cats. Clinical suspicion is created when the clinician recognizes the clinical signs suggestive of esophageal disease and accounts for historical information and physical examination findings. Once suspected, the diagnosis of esophagitis and esophageal strictures is a fairly simple one in most cases. Although the benefit of diminishing secretion of gastric acid in patients with esophagitis is unquestioned, other questions regarding adjunctive medical treatments, such as sucralfate and glucocorticoids for dogs and cats with esophagitis, have not been answered through appropriate clinical studies. Esophageal strictures are readily treated with balloon dilation or esophageal bougienage, and clients can expect most patients to become functional, although dietary change may be necessary.
食管炎和食管狭窄是犬猫食管疾病的重要病因。当临床医生识别出提示食管疾病的临床症状,并综合考虑病史信息和体格检查结果时,就会产生临床怀疑。一旦怀疑,在大多数情况下,食管炎和食管狭窄的诊断相对简单。尽管减少食管炎患者胃酸分泌的益处是毋庸置疑的,但关于辅助药物治疗的其他问题,如给患食管炎的犬猫使用硫糖铝和糖皮质激素,尚未通过适当的临床研究得到解答。食管狭窄可以通过球囊扩张术或食管探条扩张术轻松治疗,尽管可能需要改变饮食,但客户可以期望大多数患者恢复功能。