Jang Hyomi, Kim Young Joo, Jung Dong-In
VIP Animal Medical Center (Cheongdam), Seoul 06068, Republic of Korea.
College of Veterinary Medicine, Western University of Health Sciences, Pomona, CA 91766, USA.
Animals (Basel). 2025 Apr 5;15(7):1056. doi: 10.3390/ani15071056.
This study aimed to evaluate the efficiency and sensitivity of real-time video capsule endoscopy (RT-VCE) when detecting surgical and nonsurgical gastric lesions in dogs that presented with acute vomiting. Additionally, the patient tolerance and the utility of the RT-VCE data for clinical decision-making were assessed. Eleven client-owned dogs with an acute onset of vomiting were included. Each dog received an antiemetic and antacid before undergoing an RT-VCE (MC1200, MiroCam, Intromedic, Seoul, Republic of Korea). We independently reviewed the RT-VCE images to assess the image quality, detect gastric lesions, and make clinical decisions. The time taken to reach a diagnosis and the inter-clinician agreement were evaluated. RT-VCEs were successfully completed in all the dogs, with a mean time to diagnosis of 21.82 ± 15.26 min (range: 1-48 min). Both clinicians reached unanimous agreement on the RT-VCE findings. Five dogs were diagnosed with gastric foreign bodies and underwent surgical removal, while the remaining six were diagnosed with gastritis, a gastric ulcer or erosion, or hemorrhages, which were managed medically. No adverse effects, including vomiting, were observed after the capsule administration. RT-VCE proved to be an effective, accurate, and well-tolerated diagnostic method for evaluating gastric conditions in dogs with acute vomiting. Its rapid diagnostic capability and non-invasive nature make it a valuable modality in emergency veterinary settings.
本研究旨在评估实时视频胶囊内镜检查（RT-VCE）在检测出现急性呕吐的犬类手术和非手术性胃部病变时的效率和敏感性。此外，还评估了患者耐受性以及RT-VCE数据在临床决策中的实用性。纳入了11只客户拥有的急性呕吐发作的犬。每只犬在接受RT-VCE（MC1200，MiroCam，Intromedic，韩国首尔）检查前均接受了止吐药和抗酸剂治疗。我们独立审查RT-VCE图像以评估图像质量、检测胃部病变并做出临床决策。评估了做出诊断所需的时间以及临床医生之间的一致性。所有犬均成功完成了RT-VCE检查，平均诊断时间为21.82±15.26分钟（范围：1-48分钟）。两位临床医生对RT-VCE检查结果达成了一致意见。5只犬被诊断为胃内异物并接受了手术取出，其余6只被诊断为胃炎、胃溃疡或糜烂或出血，采用药物治疗。给药后未观察到包括呕吐在内的不良反应。RT-VCE被证明是一种评估急性呕吐犬胃部状况的有效、准确且耐受性良好的诊断方法。其快速的诊断能力和非侵入性使其在急诊兽医环境中成为一种有价值的检查方式。
