Winter Matthew D, Londono Leonel, Berry Clifford R, Hernandez Jorge A
1University of Florida College of Veterinary Medicine, Small Animal Clinical Sciences, Gainesville, FL, USA.
J Feline Med Surg. 2014 Feb;16(2):118-24. doi: 10.1177/1098612X13499013. Epub 2013 Aug 1.
The objectives of this study were (1) to measure normal thickness values of the muscularis, submucosal, mucosal and serosal layers in each gastrointestinal (GI) segment (gastric fundus, body and pyloric antrum; duodenum; jejunum; ileum; colon), and (2) to calculate a ratio of muscularis and mucosal layer thickness to aortic diameter measured at the level of the celiac artery (Musc:Ao and Muc:Ao) in each GI segment in a sample of healthy cats. Ultrasonographic examination of the GI tract was performed, and measurements of the individual layers in each GI segment were obtained in 38 healthy cats without clinical evidence of disease. The muscularis layer was significantly thickest in the ileum, compared with other segments, and it was thicker than the submucosa in all segments except the colon. The mucosa was the thickest layer in all segments, and was thickest in the duodenum and ileum. Measurements of the submucosal and serosal layers were not significantly different between all segments. Musc:Ao and Muc:Ao in each segment were 0.12 and 0.25 (gastric fundus), 0.12 and 0.18 (gastric body), 0.11 and 0.16 (pyloric antrum), 0.08 and 0.27 (duodenum), 0.08 and 0.22 (jejunum), 0.14 and 0.25 (ileum), and 0.05 and 0.08 (colon), respectively. Musc:Ao and Muc:Ao are clinically relevant values that can be used to objectively identify thickening of the muscularis and mucosal layers in response to GI diseases.
(1)测量每个胃肠道(GI)节段(胃底、胃体和幽门窦;十二指肠;空肠;回肠;结肠)肌层、黏膜下层、黏膜层和浆膜层的正常厚度值;(2)在一组健康猫样本中,计算每个GI节段肌层和黏膜层厚度与在腹腔干水平测量的主动脉直径的比值(肌层:主动脉和黏膜层:主动脉)。对胃肠道进行了超声检查,并在38只无疾病临床证据的健康猫中获取了每个GI节段各层的测量值。与其他节段相比,回肠的肌层最厚,且除结肠外,在所有节段中肌层都比黏膜下层厚。黏膜层在所有节段中最厚,在十二指肠和回肠中最厚。各节段黏膜下层和浆膜层的测量值无显著差异。每个节段的肌层:主动脉和黏膜层:主动脉分别为0.12和0.25(胃底)、0.12和0.18(胃体)、0.11和0.16(幽门窦)、0.08和0.27(十二指肠)、0.08和0.22(空肠)、0.14和0.25(回肠)以及0.05和0.08(结肠)。肌层:主动脉和黏膜层:主动脉是具有临床相关性的值,可用于客观识别因胃肠道疾病导致的肌层和黏膜层增厚。