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行 CT 脊髓造影犬胃和食管内容物的 CT 特征及影响食管液存在的因素。

Computed tomographic features of gastric and esophageal content in dogs undergoing CT myelography and factors influencing the presence of esophageal fluid.

机构信息

AzurVet Center of Veterinary Specialists, Diagnostic Imaging Unit, 06700 Saint-Laurent-du-Var, France.

University of Teramo, Faculty of Veterinary Medicine, 64100 Teramo, Italy.

出版信息

J Vet Sci. 2020 Nov;21(6):e84. doi: 10.4142/jvs.2020.21.e84.

Abstract

BACKGROUND

Gastroesophageal reflux (GER) has been reported to be a common finding in dogs under general anesthesia.

OBJECTIVES

The aim of this retrospective study was to assess the esophageal and gastric contents in a population of dogs undergoing computed tomographic myelography (myelo-CT) examination and to evaluate the factors influencing the presence of esophageal fluid (gastric content, duration of anesthesia, body position, and intrinsic factors).

METHODS

Esophageal and gastric contents of 83 non-brachycephalic dogs were retrospectively assessed based on plain and myelo-CT scans. Age, weight, breed, sex, and the time between the 2 computed tomography [CT] scans were included.

RESULTS

Esophageal fluid was present in 19% (16/83) of the animals, and 14% (12/83) and 46% (37/83), respectively, had fluid or food material in their stomachs. The frequency of observing esophageal fluid on myelo-CT scans was significantly increased compared with plain CT scans ( = 0.006). The presence of gastric fluid was significantly associated with an increased frequency of observing esophageal fluid compared to other gastric contents ( = 0.049; odds ratio, 3.1). The presence of esophageal fluid was not correlated with alimentary gastric contents ( = 0.17). Increased body weight and duration of anesthesia were significantly associated with an increased frequency of observing esophageal fluid ( = 0.022, = 0.021).

CONCLUSIONS

Unlike alimentary gastric contents, fluid gastric contents were correlated with the presence of esophageal fluid upon myelo-CT. The observation of fluid in the esophagus may be consistent with GER. This study provides data additional to pH monitoring studies of GER and may support previous studies recommending shorter pre-anesthetic fasting periods in dogs.

摘要

背景

胃食管反流(GER)在全身麻醉下的犬中较为常见。

目的

本回顾性研究旨在评估行计算机断层脊髓造影(myelo-CT)检查的犬的食管和胃内容物,并评估影响食管液体(胃内容物、麻醉持续时间、体位和内在因素)存在的因素。

方法

根据平扫和 myelo-CT 扫描,回顾性评估 83 只非短头犬的食管和胃内容物。纳入年龄、体重、品种、性别和 2 次 CT 扫描之间的时间。

结果

19%(16/83)的动物存在食管液体,分别有 14%(12/83)和 46%(37/83)的动物存在胃液体或食物。与平扫 CT 相比,myelo-CT 扫描观察到食管液体的频率明显增加( = 0.006)。与其他胃内容物相比,胃液体的存在与观察到食管液体的频率增加显著相关( = 0.049;优势比,3.1)。食管液体的存在与进食性胃内容物无关( = 0.17)。体重增加和麻醉持续时间与观察到食管液体的频率增加显著相关( = 0.022, = 0.021)。

结论

与进食性胃内容物不同,液体性胃内容物与 myelo-CT 时的食管液体存在相关。食管内液体的观察可能与 GER 一致。本研究提供了 GER 胃酸监测研究的补充数据,并可能支持先前建议在犬中缩短麻醉前禁食时间的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85bf/7710457/831a3ee68379/jvs-21-e84-g001.jpg

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