Tsukamoto Atsushi, Ohno Koichi, Irie Mitsuhiro, Ohmi Aki, Maeda Shingo, Nakashima Ko, Fukushima Kenjiro, Fujino Yasuhito, Uchida Kazuyuki, Tsujimoto Hajime
Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo 113-8657, Japan.
J Vet Med Sci. 2012 Apr;74(4):503-6. doi: 10.1292/jvms.11-0404. Epub 2011 Nov 22.
Endoscopic polypectomy and argon plasma coagulation (APC) were performed in a refractory case of inflammatory colorectal polyps in a 7-year-old male Miniature Dachshund. Colonoscopic examination revealed a large sessile polyp and multiple diffuse small polyps, localized to the descending colon and rectum. The case showed a poor therapeutic response to prednisolone and cyclosporine. Under anesthesia, piecemeal resections were performed by polypectomy. APC was carried out to cauterize the polyp remnants. After treatment, reduction of the lesions and the improvement in clinical signs were observed, without recurrence of lesions for at least 10 months. Endoscopic treatment by polypectomy and APC is suggested to be a therapeutic option for refractory cases of inflammatory colorectal polyps in dogs.
对一只7岁雄性迷你腊肠犬的难治性炎症性结肠息肉病例进行了内镜下息肉切除术和氩离子凝固术(APC)。结肠镜检查发现一个大的广基息肉和多个弥漫性小息肉,位于降结肠和直肠。该病例对泼尼松龙和环孢素治疗反应不佳。在麻醉下,通过息肉切除术进行分块切除。采用APC烧灼息肉残余。治疗后,观察到病变减轻和临床症状改善,病变至少10个月未复发。对于犬难治性炎症性结肠息肉病例,建议采用息肉切除术和APC进行内镜治疗作为一种治疗选择。