Congenital oesophageal hiatal hernia in a pug

Keeley, Benjamin J.; Puggioni, Antonella; Pratschke, Kathryn

doi:10.1186/2046-0481-61-6-389

Cited by 11 publications

(37 citation statements)

References 20 publications

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“…Hiatal hernia (HH) in dogs and cats is defined as protrusion of abdominal contents, most often the cardia and fundus of the stomach, through the esophageal hiatus into the caudal mediastinum . In people, 4 types of HH are described in a classification scheme that also is applied to dogs and cats .…”

Section: Introductionmentioning

confidence: 99%

Clinical findings, diagnostic test results, and treatment outcome in cats with hiatal hernia: 31 cases (1995‐2018)

Phillips

Corrie

Engel

et al. 2019

Veterinary Internal Medicne

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Background Information regarding clinical signs, assessment, treatment, and outcome in cats with hiatal hernia (HH) is limited. Objectives To characterize the clinical presentation of HH and medical and surgical outcomes in a cohort of affected cats. Animals Thirty‐one client‐owned cats with HH. Methods Medical records of cats with HH were retrospectively reviewed for signalment, history, results of diagnostic tests, details of surgical and medical treatments, complications, and outcome. Long‐term follow‐up data were obtained by telephone communication. Relationships between clinical variables and outcome were evaluated by regression analysis. Results Type I HH was present in 85.7% (24/28) of cats, and 64.5% (20/31) were >3 years of age at diagnosis. Twenty‐one of 31 (67.7%) cats underwent surgical repair including phrenoplasty, esophagopexy, and left‐sided gastropexy, and 10 of 31 cats were treated medically without surgery. Concurrent illness was common, and 77.4% cats had comorbidities. All cats survived to discharge, and median time to death or follow‐up was 959 days (range, 3‐4015 days). Cats treated medically survived longer than cats treated surgically, with median time to death or follow‐up of 2559 and 771 days, respectively. Conclusions and Clinical Importance Type I HH is the most common type of HH in cats. A congenital etiology is possible, but many cats with HH were >3 years of age at diagnosis and suffered from comorbidities, including upper airway obstruction. Case selection and the presence of comorbidities likely influenced the outcome. Cats with HH may not be diagnosed until disease is advanced or concurrent illness draws attention to clinical signs.

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Section: Introductionmentioning

confidence: 99%

Clinical findings, diagnostic test results, and treatment outcome in cats with hiatal hernia: 31 cases (1995‐2018)

Phillips

Corrie

Engel

et al. 2019

Veterinary Internal Medicne

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“…Congenital hiatal hernia, as other congenital malformations (Pisoni et al 2012;Tremolada et al 2013) is an uncommon abnormality in dogs and rare in cats, but various reports are available in the literature (Gaskell et al 1974;Teunissen et al 1978;Peterson 1983;Ellison et al 1987;Miles et al 1988;Prymak et al 1989;Bright et al 1990;Williams 1990;Brinkley 1990;White 1993;Callan et al 1993;Auger and Riley1997;Hardie et al 1998;Lorinson and Bright 1998;Sivacolundhu et al 2002;Rahal et al 2003;Kirkby et al 2005;Owen et al 2005;Ardnt et al 2006;Baig et al 2006;Keeley et al 2008;DeSandre-Robinson et al 2011), most of which are congenital, such as, apparently, the case described in the present report. Despite the several cases reported, the pathogenesis is not completely understood and, similarly, the therapeutic protocol has not been standardised.…”

Section: Discussionmentioning

confidence: 99%

Combined surgical and endoscopic approach for the reduction of a congenital hiatal hernia in a cat: a case report

Pisoni¹,

Magno²,

Cinti³

et al. 2014

Vet. Med. - Czech

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A case of surgical resolution of type I or "sliding" hiatal hernia is reported. A seven-month-old kitten was presented because of abdominal discomfort, accelerated breathing after eating and chronic vomiting. The clinical examination was unremarkable. Thoracic radiographs and gastroscopy led to the diagnosis of type I hiatal hernia. The surgical resolution consisted of hiatal plication, oesophagopexy and left-flank incisional gastropexy. All procedures were carried out using a 6 mm videoendoscope positioned in the stomach to evaluate the right oesophago-gastric junction reduction. One week after surgery there was a recurrence of symptoms and a second laparotomy was performed. During the second surgery additional hiatal plication was necessary and an oesophagopexy was repeated after dissection of the phrenico-oesophageal ligament. Moreover, a new incisional gastropexy was carried out after resolution of the first one. The cat recovered without complications and at oneyear follow-up did show no signs related to the hiatal hernia. This communication reports on possible additional surgical techniques in cases of type I hiatal hernia and contributes to an understanding of the importance of oesophagopexy in cases of hiatus malformation.

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“…6 Sliding HH has been reported previously in several brachycephalic dogs, including the Bulldog, French Bulldog, Pug, Chow Chow, and Chinese Shar Pei. 2,3,6,[11][12][13][14] Videofluoroscopic barium swallowing studies (VFSS) are considered the gold standard diagnostic tool for the assessment of esophageal motility and HH in people 15 and in small animals. 1,10 Limited information is available about VFSS in dogs, particularly in brachycephalic breeds, which is likely a result of limited availability in nonreferral centers and cost.…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of esophageal imaging features in brachycephalic versus non‐brachycephalic dogs based on videofluoroscopic swallowing studies

Eivers

Rueda

Liuti

et al. 2019

Veterinary Internal Medicne

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Background Idiopathic esophageal dysmotility (ED) is increasingly recognized in young dogs of brachycephalic breeds. Few studies have objectively associated specific videofluoroscopic swallowing study (VFSS) features with brachycephaly, leading to under‐recognition of ED in brachycephalic breeds. Hypothesis/objectives To describe and compare VFSS in brachycephalic dogs versus non‐brachycephalic dogs presented for dysphagia or regurgitation, and to investigate associations between these imaging findings and patient signalment. Methods Retrospective analysis of VFSS of dogs presented for dysphagia or regurgitation (not megaesophagus) from 2006 to 2017. Cases were divided into brachycephalic and mesaticephalic breeds. The VFSS were reviewed using a standardized protocol by 2 examiners. Esophageal motility was assessed using specific criteria, and particular imaging features were noted and graded. Fisher's exact test was used to determine associations among signalment (including brachycephaly), final diagnosis, outcomes, and ED features. Results Thirty‐six dogs were included (n = 10 normal, n = 26 presumed ED). Twenty dogs (77%) with presumed ED were brachycephalic with a median age of 1 year (range, 0.2‐10.5 years). Most common were prolonged esophageal transit time (ETT; n = 21/26), decreased propagation of secondary peristaltic waves (n = 20/26), and gastroesophageal reflux (GER; n = 18/28). Eight dogs (all brachycephalic) had hiatal herniation (HH). Morphological esophageal variations were only observed in brachycephalic dogs. Brachycephaly was significantly associated with ED ( P = .005), prolonged ETT ( P = .41), GER ( P = .02), and HH ( P = .03). Conclusions and Clinical Importance The majority of dogs with presumed ED was young and brachycephalic and had specific abnormalities that were less frequent in mesaticephalic dogs with regurgitation or dysphagia.

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Congenital oesophageal hiatal hernia in a pug

Cited by 11 publications

References 20 publications

Clinical findings, diagnostic test results, and treatment outcome in cats with hiatal hernia: 31 cases (1995‐2018)

Clinical findings, diagnostic test results, and treatment outcome in cats with hiatal hernia: 31 cases (1995‐2018)

Combined surgical and endoscopic approach for the reduction of a congenital hiatal hernia in a cat: a case report

Retrospective analysis of esophageal imaging features in brachycephalic versus non‐brachycephalic dogs based on videofluoroscopic swallowing studies

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