Medical management of esophageal perforation secondary to esophageal foreign bodies in 5 dogs

Teh, Helsa; Winters, Lisa; James, Fleur; Irwin, Peter; Beck, Cathy; Mansfield, Caroline

doi:10.1111/vec.12757

Cited by 7 publications

(23 citation statements)

References 13 publications

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“…Radiographic evidence of cervical emphysema often influences the decision of surgical intervention; however, this remained debatable as several reports described successful management of oropharyngeal or oesophageal perforation with endoscopy and medical therapy in dogs (Robinson et al, 2014;Sterman et al, 2018;Teh et al, 2018). Endoscopy may serve diagnostic and therapeutic purposes as it allows direct visualisation of perforation and retrieval of foreign material in certain cases, respectively (Robinson et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…In cases with lodged wooden fragments, treatment of choice is per oral endoscopic removal of the fragment or advancement into the stomach (Teh et al, 2018). Smaller perforations however without presence of wooden fragments can be managed medically (Teh et al, 2018). The present report describes a case of oesophageal perforation in a dog that was diagnosed radiologically and invasiveness of the perforation was estimated by CT scan, and finally managed by medical intervention.…”

Section: Introductionmentioning

confidence: 91%

“…Treatment varies amongst cases depending on the presenting signs. In cases with lodged wooden fragments, treatment of choice is per oral endoscopic removal of the fragment or advancement into the stomach (Teh et al, 2018). Smaller perforations however without presence of wooden fragments can be managed medically (Teh et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnosis and Medical Management of Oesophageal Penetration in an Abused Dog

Mazda¹,

Azahari²,

Aslam³

et al. 2020

JAHP

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

See 1 more Smart Citation

Diagnosis and Medical Management of Oesophageal Penetration in an Abused Dog

Mazda¹,

Azahari²,

Aslam³

et al. 2020

JAHP

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“…Strictures located beyond the cystic duct were considered proximal strictures, and those located before the cystic duct were considered distal strictures …”

Section: Methodsmentioning

confidence: 99%

The value of DNA image cytometry combined with brush routine cytology in diagnosing indeterminate biliary strictures: A large sample size retrospective study

Yang

Sun

Guo

et al. 2019

J of Gastro and Hepatol

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Background and Aim:Brush cytology is widely applied to diagnosis indeterminate biliary stricture but suffer from low sensitivity. Changes in DNA content are a character of malignant cell and can be detected by DNA image cytometry (DNA-ICM). The study aimed to estimate the value of routine cytology (RC), DNA-ICM, and their combination in diagnosing indeterminate biliary strictures. Methods: A total of 362 patients who underwent both RC and DNA-ICM tests were analysed. Their results were retrospectively applied to final diagnoses. Diagnostic values were compared among RC, DNA-ICM, and their combination based on the location of strictures. Results: The DNA-ICM and combination of two methods had higher diagnostic accuracy than RC in all strictures (63.3% vs 42.3%, P < 0.001, 64.36% vs 42.3%, P < 0.001) and in distal strictures (65.36% vs 42.81%, P < 0.001, 66.01% vs 42.81%, P < 0.001). But in proximal strictures, DNA-ICM showed no superior (51.8% vs 42.81%, P = 0.184). Combination of two methods was not fully significant superior to RC in proximal strictures (55.36% vs 39.29%, P = 0.089). After classification of "suspicious for malignancy" as positive for malignancy, the diagnostic accuracy of DNA-ICM was still higher than that of RC in all strictures (63.3% vs 51.9%, P = 0.002) and in distal strictures (65.36% vs 52.29%, P = 0.001). Combination of two methods was no superior to DNA-ICM alone (64.36% vs 63.3%, P = 0.757). The utilization of DNA-ICM was more accurate in distal strictures than in proximal strictures (65.36% vs 51.8%, P = 0.017). Conclusion: DNA-ICM is an objective and effective addition tool with RC, especially in distal strictures. The combination of DNA-ICM and RC showed no superior to DNA-ICM alone but could improve diagnostic accuracy to RC in proximal strictures although not fully significant. ) 0.738 (0.625-0.853) † Suspicious cytology findings were considered indications of malignancy.AUC, area under curve; DNA-ICM, DNA image cytometry; NPV, negative predictive value; PPV, positive predictive value; SE, sensitivity; SP, specificity.

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“…Some dogs may remain asymptomatic but most show acute clinical symptoms that include gagging, hypersalivation, dysphagia and discomfort on palpation [3] . When the symptoms are obvious, EFB is considered as an emergency case in veterinary medicine [3,[5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Köpeklerde Birbirine Bağlı Gastroözefageal Çoklu Balık Kancalarının Endoskopik ve Cerrahi Girişimlerle Uzaklaştırılması: 13 Olgu (2010-2017)

Yardımcı¹,

Inal²,

Önyay³

et al. 2019

Kafkas Univ Vet Fak Derg

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The aim of this study was to evaluate endoscopic and/or surgical removal of interconnected, multiple fish hooks that lodge in gastroesophageal region in dogs. Medical records were obtained and clinical, radiographic and endoscopic evaluations were performed for 13 dogs with gastroesophageal multiple fish hooks. Endoscopic, surgical and endoscopy assisted surgical removal was performed depending on penetration degree of the hooks. Distribution of the hooks were 9 (13.2%) in the cranial esophagus, 40 (58.8%) in the cervical esophagus, 17 (25%) in the thoracic esophagus and 2 (3%) in the stomach. Retrieval of the hooks was performed endoscopically in 11 cases, surgically in one case and combined in one case. There were no complicated mucosal erosions or lacerations associated with removal of the hooks. It is very important to remove fish hooks as soon as possible to reduce complication rates and the dog owners should be warned to beware of fishing areas.

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Medical management of esophageal perforation secondary to esophageal foreign bodies in 5 dogs

Cited by 7 publications

References 13 publications

Diagnosis and Medical Management of Oesophageal Penetration in an Abused Dog

Diagnosis and Medical Management of Oesophageal Penetration in an Abused Dog

The value of DNA image cytometry combined with brush routine cytology in diagnosing indeterminate biliary strictures: A large sample size retrospective study

Köpeklerde Birbirine Bağlı Gastroözefageal Çoklu Balık Kancalarının Endoskopik ve Cerrahi Girişimlerle Uzaklaştırılması: 13 Olgu (2010-2017)

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