“…During the survey period, a total of 6,946 dogs were referred to TUAT-AMC and AdAM. CE was diagnosed based on the previous reports ( Dandrieux, 2016 ; Hirokawa et al., 2021 ; Ogawa et al., 2018 ; Osada et al., 2017 ). The criteria for CE diagnosis included chronic GI signs, such as vomiting, small bowel diarrhea (melena, normal fecal frequency, and increased fecal volume), and/or large bowel diarrhea (mucus, hematochezia, tenesmus, increased frequency of defecation, and decreased fecal volume) for a duration of over 3 weeks.…”