Queen's Veterinary School Hospital, University of Cambridge, Cambridge.
Vet Rec. 2010 Dec 18;167(25):968-76. doi: 10.1136/vr.c4912.
This study reports the clinical, clinicopathological and ultrasonographic findings from dogs with chronic pancreatitis (CP). Fourteen dogs with clinical signs consistent with CP and histological confirmation of the disease were evaluated. Abdominal ultrasound and clinical pathology results were recorded. Sensitivities of pancreatic enzymes for diagnosis of CP were calculated with two different cut-off values. The mean age of affected dogs was 9.1 years. Spaniels were the most common breed with CP, representing seven of the 14 dogs in this study. CP was histologically severe in nine cases. Most dogs showed chronic low-grade gastrointestinal signs and abdominal pain. Five dogs had exocrine pancreatic insufficiency and five dogs had diabetes mellitus. The sensitivity of elevated trypsin-like immunoreactivity for CP was 17 per cent. The sensitivities of canine pancreatic lipase immunoreactivity, lipase and amylase for CP were 44 to 67 per cent or 14 to 28 per cent depending on the cut-off value used. Cholesterol was elevated in 58 per cent of samples. Liver enzymes were often elevated. The pancreas appeared abnormal on 56 per cent of ultrasound examinations. Ten dogs had died by the end of the study period; only one case was due to CP.
本研究报告了慢性胰腺炎(CP)犬的临床、临床病理和超声表现。评估了 14 只具有与 CP 一致的临床症状和组织学证实的犬。记录了腹部超声和临床病理学结果。使用两个不同的截止值计算了胰腺酶对 CP 的诊断灵敏度。受影响犬的平均年龄为 9.1 岁。西班牙猎犬是 CP 最常见的品种,在本研究的 14 只犬中占 7 只。9 例 CP 组织学严重。大多数犬表现为慢性低度胃肠道症状和腹痛。5 只犬有外分泌胰腺功能不全,5 只犬有糖尿病。胰蛋白酶样免疫反应升高对 CP 的敏感性为 17%。犬胰腺脂肪酶免疫反应、脂肪酶和淀粉酶对 CP 的敏感性为 44%至 67%或 14%至 28%,具体取决于使用的截止值。58%的样本胆固醇升高。肝酶常升高。56%的超声检查显示胰腺异常。研究结束时已有 10 只狗死亡;只有一例是 CP 导致的。