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采用氩离子凝固术经内镜息肉切除术治疗犬的多发性炎性胃息肉。

Multiple inflammatory gastric polyps treated by endoscopic polypectomy with argon plasma coagulation in a dog.

作者信息

Teshima T, Matsumoto H, Michishita M, Takahashi K, Koyama H

机构信息

Division of Veterinary Internal Medicine, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, 1-7-1 Kyonan-cho, Musashino-shi, Tokyo 180-8602, Japan.

出版信息

J Small Anim Pract. 2013 May;54(5):265-8. doi: 10.1111/jsap.12032. Epub 2013 Feb 9.

Abstract

An 11-year-old spayed female miniature dachshund was evaluated for a 2-month history of chronic vomiting. Abdominal ultrasonography revealed a heterogeneous mass in the pyloric region. Contrast upper gastrointestinal radiography demonstrated impairment of gastric outflow. Endoscopic examination revealed multiple polyps at the gastric pylorus. The pyloric polyps were variable in size, sessile-shaped and pedunculated. Initially, endoscopic polypectomy was attempted, but all the polyps could not be completely resected. Thus, endoscopic polypectomy with argon plasma coagulation was performed to cauterise the lesions. The histopathological diagnosis of the lesions was inflammatory polyps, and a moderate number of Helicobacter spp. was revealed. After the argon plasma coagulation treatment, the dog did not vomit, and improvement of clinical signs was maintained for 13 months. Endoscopic polypectomy with argon plasma coagulation may be useful for mixtures of sessile and pedunculated polyps. The present report may provide a basis for further studies of argon plasma coagulation treatment for canine gastrointestinal polyps.

摘要

一只11岁已绝育的雌性迷你腊肠犬因有2个月的慢性呕吐病史而接受评估。腹部超声检查显示幽门区域有一个不均匀的肿块。上消化道造影显示胃流出道受损。内镜检查发现胃幽门处有多个息肉。幽门息肉大小不一,有蒂状和无蒂状。最初尝试进行内镜息肉切除术,但所有息肉无法完全切除。因此,进行了氩离子凝固术的内镜息肉切除术以烧灼病变。病变的组织病理学诊断为炎性息肉,并发现了中等数量的幽门螺杆菌。氩离子凝固术治疗后,该犬不再呕吐,临床症状改善持续了13个月。氩离子凝固术的内镜息肉切除术可能对无蒂和有蒂息肉的混合情况有用。本报告可为进一步研究氩离子凝固术治疗犬胃肠道息肉提供依据。

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