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19 天大的患有胃食管肠套叠的幼犬,术后巨食管和食管动力得到改善。

Postoperative improvement of megaesophagus and esophageal motility in a 19-day-old puppy with gastroesophageal intussusception.

机构信息

Veterinary Teaching Hospital, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo, Hokkaido 060-0018, Japan.

Laboratory of Veterinary Surgery, Department of Veterinary Clinical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo, Hokkaido 060-0818, Japan.

出版信息

J Vet Med Sci. 2021 Nov 16;83(11):1740-1744. doi: 10.1292/jvms.21-0384. Epub 2021 Sep 21.

Abstract

Canine gastroesophageal intussusception (GEI) is a rare and life-threatening condition that requires prompt diagnosis and treatment. A 19-day-old Siberian Husky with a 4-day history of regurgitation was diagnosed with GEI based on the findings of computed tomography (CT) performed without anesthesia. Endoscopic reduction of intussusception was impossible; thus, surgical reduction by traction of the duodenum was performed. CT revealed improvement of megaesophagus 82 days postoperatively. Eleven months postoperatively, fluoroscopy showed recovery to nearly normal esophageal motility. Two years postoperatively, no clinical signs were reported. CT is useful to diagnose GEI in neonate puppies with poor abdominal fat and to assess the gastric edema and the anatomical association of stomach with other organs. Fluoroscopy is helpful for evaluating postoperative esophageal motility.

摘要

犬胃食管肠套叠(GEI)是一种罕见且危及生命的疾病,需要及时诊断和治疗。一只 19 天大的哈士奇犬,有 4 天的呕吐史,根据未麻醉状态下进行的计算机断层扫描(CT)结果诊断为 GEI。内镜复位肠套叠无法进行;因此,通过牵引十二指肠进行了手术复位。术后 82 天 CT 显示巨食管改善。术后 11 个月,荧光透视显示食管运动基本恢复正常。术后 2 年,无临床症状报告。CT 有助于诊断腹部脂肪少的新生幼犬的 GEI,并评估胃水肿和胃与其他器官的解剖关系。荧光透视有助于评估术后食管运动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ae1/8636889/b023c759edf2/jvms-83-1740-g001.jpg

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