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使用穹窿钩经胃切开术取出雌性犬食管异物:一例报告。

Esophageal foreign body removal through gastrotomy using a covault hook in a female dog: A case report.

作者信息

Davoodi Farshid, Valizadeh Yasin, Raisi Abbas, Mozaffari Nima, Gohardehi Karin

机构信息

DVM Graduate, Faculty of Veterinary Medicine, Lorestan University, Khorramabad, Iran.

Department of Clinical Sciences, Faculty of Veterinary Medicine, Lorestan University, Khorramabad, Iran.

出版信息

Vet Res Forum. 2021;12(3):387-389. doi: 10.30466/vrf.2020.128301.2967. Epub 2021 Sep 15.

DOI:10.30466/vrf.2020.128301.2967
PMID:34815853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8576149/
Abstract

One of the most critical emergencies in dogs is esophageal foreign bodies. The most important foreign body reported in the esophagus is bone; however, there are also reports of fish hooks lodged in the esophagus. This case report describes the history, clinical signs, radiographic findings and surgical management of an esophageal foreign body due to a single-barbed fish hook in a 4-month-old Siberian Husky female dog with regurgitation, pain, anorexia and lethargy. In this case, plain radiography was taken to determine the type and location of the foreign body and it was confirmed that a single-barbed fish hook was lodged in the heart base of thorax. Depending on the type of foreign body, penetrable or non-penetrable as well as the location, a variety of methods including endoscopy, fluoroscopy, and surgery are used for its removal. For treatment, for the first time, a covault hook was utilized to remove the foreign body gastrotomy. Case follow-up during two weeks showed no postoperative complications and the patient was healthy.

摘要

犬类最危急的紧急情况之一是食管异物。食管中报告最多的异物是骨头;然而,也有鱼钩嵌顿在食管的报道。本病例报告描述了一只4个月大的雌性西伯利亚哈士奇犬因单倒刺鱼钩导致食管异物的病史、临床症状、放射学检查结果及手术治疗情况,该犬有反流、疼痛、厌食和嗜睡症状。在此病例中,进行了普通放射摄影以确定异物的类型和位置,证实一个单倒刺鱼钩嵌顿在胸廓的心基部。根据异物的类型,可穿透或不可穿透以及位置,可采用多种方法包括内镜检查、荧光镜检查和手术来取出异物。在治疗中,首次使用拱形钩通过胃切开术取出异物。两周的病例随访显示无术后并发症,病犬健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aa0/8576149/3ff57bc275a5/vrf-12-387-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aa0/8576149/fb55d7798c82/vrf-12-387-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aa0/8576149/3ff57bc275a5/vrf-12-387-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aa0/8576149/fb55d7798c82/vrf-12-387-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aa0/8576149/3ff57bc275a5/vrf-12-387-g002.jpg

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本文引用的文献

1
Transdiaphragmatic Gastrotomy for the Extraction of Distal Esophageal Foreign Bodies in 13 Dogs (1997-2016).1997年至2016年期间13只犬经膈胃切开术取出食管远端异物
J Am Anim Hosp Assoc. 2020 Jan/Feb;56(1):17-22. doi: 10.5326/JAAHA-MS-6971. Epub 2019 Nov 12.
2
Caudal Mediastinal Fish Hook Foreign Body with Pulmonary Artery Penetration in Two Dogs.两只犬出现尾侧纵隔鱼钩异物并穿透肺动脉
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Risk factors and prognostic indicators for surgical outcome of dogs with esophageal foreign body obstructions.
犬食管异物阻塞手术结果的危险因素及预后指标
J Am Vet Med Assoc. 2018 Feb 1;252(3):301-308. doi: 10.2460/javma.252.3.301.
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Endoscopic and surgical removal of oesophageal and gastric fishhook foreign bodies in 33 animals.33只动物食管和胃内鱼钩异物的内镜及手术取出
J Small Anim Pract. 2018 Jan;59(1):45-49. doi: 10.1111/jsap.12794. Epub 2017 Nov 30.
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Removal of oesophageal foreign bodies: comparison between oesophagoscopy and oesophagotomy in 39 dogs.食管异物取出术:39只犬的食管镜检查与食管切开术的比较
J Small Anim Pract. 2015 Oct;56(10):613-7. doi: 10.1111/jsap.12386. Epub 2015 Aug 19.
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J Small Anim Pract. 2009 Dec;50(12):649-54. doi: 10.1111/j.1748-5827.2009.00845.x.
9
Endoscopic removal of a fishhook in the esophagus.内镜下取出食管内的鱼钩。
Gastrointest Endosc. 2009 Sep;70(3):550-1; discussion 551. doi: 10.1016/j.gie.2009.04.023. Epub 2009 Jun 25.
10
Removal of oesophageal foreign bodies in dogs: use of the fluoroscopic method and outcome.犬食管异物取出术:透视法的应用及结果
J Small Anim Pract. 2001 May;42(5):227-30. doi: 10.1111/j.1748-5827.2001.tb02025.x.