van der Gaag I, Happé R P
Institute of Veterinary Pathology, State University Utrecht, The Netherlands.
Can J Vet Res. 1989 Oct;53(4):468-72.
The results of follow-up studies in 139 vomiting dogs are presented. Follow-up studies were performed by biopsies in 34 dogs, by biopsies and necropsy in six dogs and by necropsy only in 99 dogs. The times between the first and the last series of biopsies varied from three to 1042 days and from one to 656 days between the first series of biopsies and necropsy. From the 55 dogs with gastritis in the first series of biopsies, 35 also showed gastritis in the following biopsies or at necropsy. These were mainly severe types of gastritis such as diffuse, hypertrophic or atrophic. Ten dogs with superficial gastritis showed no gastric changes at necropsy, two dogs had edema only and three dogs had gastric changes other than gastritis, such as multiple polyps. In general, carcinoma and lymphosarcoma were found in the biopsies as well as at necropsy, but in three cases of terminal carcinoma only gastritis had been diagnosed initially. In 35 dogs the first series of gastric biopsies showed no pathological changes, but in 22 of these dogs gastritis, ulceration, fibrosis, atrophy, gastric dilation with local necrosis, and perforation or lymphosarcoma of the submucosa were found in the second series of biopsies or at necropsy. Several dogs which did not have gastric changes at necropsy had enteritis or intestinal lymphosarcoma.
本文展示了对139只呕吐犬的随访研究结果。34只犬通过活检进行随访研究,6只犬通过活检和尸检进行随访研究,99只犬仅通过尸检进行随访研究。首次活检与最后一次活检之间的时间间隔为3至1042天,首次活检与尸检之间的时间间隔为1至656天。在首次活检时患有胃炎的55只犬中,35只在后续活检或尸检时也显示出胃炎。这些主要是严重类型的胃炎,如弥漫性、肥厚性或萎缩性。10只患有浅表性胃炎的犬在尸检时未发现胃部变化,2只犬仅有水肿,3只犬有除胃炎以外的胃部变化,如多发性息肉。一般来说,活检和尸检均发现了癌和淋巴肉瘤,但在3例晚期癌病例中,最初仅诊断为胃炎。35只犬的首次胃部活检未显示病理变化,但在这些犬中的22只犬,在第二次活检或尸检时发现了胃炎、溃疡、纤维化、萎缩、伴有局部坏死的胃扩张、穿孔或黏膜下淋巴肉瘤。几只在尸检时没有胃部变化的犬患有肠炎或肠道淋巴肉瘤。