Surgical correction of gastro‐oesophageal intussusception with bilateral incisional gastropexy in three dogs

Abstract

Three dogs presented for evaluation of acute onset tachypnoea and dyspnoea following episodes of vomiting and/or regurgitation. Thoracic radiographs were suggestive of a gastro-oesophageal intussusception in all three dogs; one dog also showed evidence of aspiration pneumonia. All three dogs underwent surgical correction with a bilateral incisional gastropexy. All dogs recovered from anaesthesia uneventfully and were discharged from the hospital 3 days after presentation. Persistent megaoesophagus was evident in all three dogs, and they are being chronically managed with a strict feeding regime and pro-motility agents.

Gastroesophageal intussusception with complete herniation of the spleen in a 12 months old dog with idiopathic megaoesophagus

“…Tentative diagnosis of GEI can be made by radiography in most cases. Other diagnostic procedures are contrast enhanced radiographs, oesophagoscopy, and ultrasonography 2,4,7,10 . Computed tomography has not been described as an diagnostic procedure in dogs with GEI in the veterinary literature so far.…”

“…Other diagnostic procedures are contrast enhanced radiographs, oesophagoscopy, and ultrasonography. 2,4,7,10 Computed tomography has not been described as an diagnostic procedure in dogs with GEI in the veterinary literature so far. It allows for the differentiation between a hiatal hernia and GEI and allows identification and evaluation of the invaginated abdominal organs.…”

“…The pathogenesis of GEI is still unclear, but megaoesophagus, oesophageal dysmotility disorders, or laxity of the oesophageal hiatus are discussed to be predisposing factors for GEI, with 36 % of patients having megaoesophagus prior to GEI 3 and 50% of patients with GEI showing different oesophageal disorders 3,8 . Young, male, medium to large breed dogs, and especially German shepherd dogs are overrepresented in the literature 2–6,8–10 . The onset of clinical signs is mostly acute and immediate surgical treatment is recommended.…”

“…3,8 Young, male, medium to large breed dogs, and especially German shepherd dogs are overrepresented in the literature. [2][3][4][5][6][8][9][10] The onset of clinical signs is mostly acute and immediate surgical treatment is recommended. However, chronic gastro-intestinal signs or acute worsening of chronic signs (chronic-to-acute) are described as well.…”

Postoperative improvement of megaesophagus and esophageal motility in a 19-day-old puppy with gastroesophageal intussusception

“…For the diagnosis of GEI, assessment of clinical signs, thoracic radiography, positive contrast esophagography, and esophageal endoscopy are usually performed. However, they cannot assess invaginated organs other than the stomach or the severity of edema of the intussuscepted stomach [ 1 , 4 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ].…”