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Showing posts with label gastrointestinal foreign body. Show all posts
Showing posts with label gastrointestinal foreign body. Show all posts

Thursday, August 5, 2010

Radiography for Abdominal Disorders in Cats

Adams WM, Sisterman LA, Klauer JM et al: Association of intestinal disorders in cats with findings of abdominal radiography, J Am Vet Med Assoc 236:880, 2010.

This retrospective study compared the radiographic appearance of small and large intestines of cats with various medical conditions while creating a quantitative index for interpretation of intestinal diameters on abdominal radiographic views. The abdominal radiographs of 74 cats were evaluated as part of the study.  The cats were assigned to 1 of 4 categories: no gastrointestinal tract disease, nonobstructive gastrointestinal disease, linear foreign body (LFB), and small intestinal mechanical obstruction not caused by an LFB. Different measurements in millimeters were compared such as the maximum and minimum external small intestine diameter (SID) and colon diameter (CD).  The dorsoventral height measurements from lateral radiographic views of the cranial end plate of L2 (VEL2) and L5 (VEL5) vertebrae were also compared. When the maxSID:VEL2 ratio was >2.0, gastrointestinal disease was present. At the maxSID:VEL2 ratio of >2.5, the most likely abnormality was intestinal obstruction and a ratio >3.0 had a > 70% likelihood of intestinal obstruction. Plication of the small intestines was significantly related to LFB and all 10 cats with plication had conditions that required abdominal surgery.  There was no correlation between presence of gas in the small intestine and disease, though all 5 cats that had a combination pattern of linear and comma shaped gas had surgical disease. It was noted that a comma-shaped gas pattern is nearly always an abnormal radiographic finding, but it is not pathognomonic for a LFB. [VT]


Related articles:
Baez J, Hendrick M, Walker L et al: Radiographic, ultrasonographic, and endoscopic findings in cats with inflammatory bowel disease of the stomach and small intestine: 33 cases (1990-1997), J Amer Vet Med Assoc 215:349, 1999.

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Adams WM, Sisterman LA, Klauer JM et al: Association of intestinal disorders in cats with findings of abdominal radiography, J Am Vet Med Assoc 236:880, 2010.

This retrospective study compared the radiographic appearance of small and large intestines of cats with various medical conditions while creating a quantitative index for interpretation of intestinal diameters on abdominal radiographic views. The abdominal radiographs of 74 cats were evaluated as part of the study.  The cats were assigned to 1 of 4 categories: no gastrointestinal tract disease, nonobstructive gastrointestinal disease, linear foreign body (LFB), and small intestinal mechanical obstruction not caused by an LFB. Different measurements in millimeters were compared such as the maximum and minimum external small intestine diameter (SID) and colon diameter (CD).  The dorsoventral height measurements from lateral radiographic views of the cranial end plate of L2 (VEL2) and L5 (VEL5) vertebrae were also compared. When the maxSID:VEL2 ratio was >2.0, gastrointestinal disease was present. At the maxSID:VEL2 ratio of >2.5, the most likely abnormality was intestinal obstruction and a ratio >3.0 had a > 70% likelihood of intestinal obstruction. Plication of the small intestines was significantly related to LFB and all 10 cats with plication had conditions that required abdominal surgery.  There was no correlation between presence of gas in the small intestine and disease, though all 5 cats that had a combination pattern of linear and comma shaped gas had surgical disease. It was noted that a comma-shaped gas pattern is nearly always an abnormal radiographic finding, but it is not pathognomonic for a LFB. [VT]


Related articles:
Baez J, Hendrick M, Walker L et al: Radiographic, ultrasonographic, and endoscopic findings in cats with inflammatory bowel disease of the stomach and small intestine: 33 cases (1990-1997), J Amer Vet Med Assoc 215:349, 1999.

More on cat health: Winn Feline Foundation Library
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Monday, February 1, 2010

Gastrointestinal Foreign Bodies in Cats

Hayes G. Gastrointestinal foreign bodies in dogs and cats: a retrospective study of 208 cases. Journal of Small Animal Practice. 2009;50(11):576-583.

Ingestion of foreign bodies, including string-like objects (linear foreign body), is a common presenting problem seen in feline medicine. Foreign bodies may cause partial or complete gastrointestinal (GI) obstruction, resulting in disturbances of fluid and electrolyte balance as well as dehydration. Damage to the intestinal tract may also occur. This study reviewed the records of 208 cases of GI foreign bodies in dogs and cats that presented to the RSPCA Greater Manchester Animal Hospital in the UK from June 2003 to May 2007. Twenty-one cats were included in the study, with 3 cats presenting on 2 separate occasions. Twenty-five percent of the cases in cats involved a linear foreign body. The types of foreign objects included plastic or rubber objects, string, rope or fishing line, and needle and thread. Survival rates were higher with discrete foreign bodies (100%) than linear foreign bodies (63%). Increased mortality was also associated with a longer duration of clinical signs and multiple surgical procedures. The degree of obstruction and the locatn of the foreign body had no influence on survival. The authors conclude that prompt presentation, diagnosis and surgical intervention improve the outcome of animals with GI foreign bodies. [SL]

Related articles:
Tyrrell D, Beck C. Survey of the use of radiography vs. ultrasonography in the investigation of gastrointestinal foreign bodies in small animals. Vet Radiol Ultrasound. Jul-Aug 2006;47(4):404-408.

Bebchuk TN. Feline gastrointestinal foreign bodies. Vet Clin North Am Small Anim Pract. Jul 2002;32(4):861-880, vi.

More on cat health: Winn Feline Foundation Library
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Hayes G. Gastrointestinal foreign bodies in dogs and cats: a retrospective study of 208 cases. Journal of Small Animal Practice. 2009;50(11):576-583.

Ingestion of foreign bodies, including string-like objects (linear foreign body), is a common presenting problem seen in feline medicine. Foreign bodies may cause partial or complete gastrointestinal (GI) obstruction, resulting in disturbances of fluid and electrolyte balance as well as dehydration. Damage to the intestinal tract may also occur. This study reviewed the records of 208 cases of GI foreign bodies in dogs and cats that presented to the RSPCA Greater Manchester Animal Hospital in the UK from June 2003 to May 2007. Twenty-one cats were included in the study, with 3 cats presenting on 2 separate occasions. Twenty-five percent of the cases in cats involved a linear foreign body. The types of foreign objects included plastic or rubber objects, string, rope or fishing line, and needle and thread. Survival rates were higher with discrete foreign bodies (100%) than linear foreign bodies (63%). Increased mortality was also associated with a longer duration of clinical signs and multiple surgical procedures. The degree of obstruction and the locatn of the foreign body had no influence on survival. The authors conclude that prompt presentation, diagnosis and surgical intervention improve the outcome of animals with GI foreign bodies. [SL]

Related articles:
Tyrrell D, Beck C. Survey of the use of radiography vs. ultrasonography in the investigation of gastrointestinal foreign bodies in small animals. Vet Radiol Ultrasound. Jul-Aug 2006;47(4):404-408.

Bebchuk TN. Feline gastrointestinal foreign bodies. Vet Clin North Am Small Anim Pract. Jul 2002;32(4):861-880, vi.

More on cat health: Winn Feline Foundation Library
Join us on Facebook
Follow us on Twitter

New for 2010: Subscribe to our e-newsletter
Read More