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一例食管良性狭窄:小母牛的内镜治疗局限性及外科处理

An oesophageal benign stricture: Endoscopy treatment limitation and surgical management in a heifer.

作者信息

Trovatelli Marco, Sala Giulia, Romussi Stefano, Boccardo Antonio

机构信息

Department of Veterinary Medicine, University of Milan, Lodi, Italy.

出版信息

Vet Med (Praha). 2021 May 31;66(6):272-277. doi: 10.17221/93/2020-VETMED. eCollection 2021 Jun.

Abstract

A 4-month-old female red Holstein Friesian heifer was referred with intermittent meteorism and regurgitation associated with poor weight gain. The subject showed a fair physical condition with an increased respiratory rate, normal food prehension, mastication, and swallowing activity. The blood gas analysis showed mild respiratory acidosis. An oral gastric tube introduction followed by an endoscopy confirmed the provisional diagnosis of benign oesophageal stenosis. An endoscopic balloon and bouginage did not result in any stricture release, probably due to the degree of fibrosis of the stenotic ring. A surgical approach with a mucosectomy was performed, which restored the normal oesophageal function. Based on the authors' knowledge, this is the first description of a bovine oesophageal mucosectomy as a definitive surgical treatment for a stricture after the failure of both balloon dilation and a bougienage technique.

摘要

一头4个月大的雌性红色荷斯坦弗里生小母牛因间歇性臌气和反流并伴有体重增加缓慢而前来就诊。该病例身体状况尚可,呼吸频率增加,食物摄取、咀嚼和吞咽活动正常。血气分析显示轻度呼吸性酸中毒。插入口服胃管并随后进行内窥镜检查证实了良性食管狭窄的初步诊断。内窥镜球囊扩张和探条扩张术均未使狭窄解除,这可能是由于狭窄环的纤维化程度所致。于是实施了黏膜切除术的手术方法,恢复了食管的正常功能。据作者所知,这是首次描述将牛食管黏膜切除术作为球囊扩张术和探条扩张术失败后狭窄的确定性手术治疗方法。

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