Diagnostic Imaging of Esophageal Diseases in Dogs

개에서 식도질환의 진단영상학적 평가

  • 장동우 (서울대학교 수의과대학) ;
  • 이영원 (충남대학교 수의과대학) ;
  • 엄기동 (서울대학교 수의과대학) ;
  • 최민철 (서울대학교 수의과대학서울대학교 수의과대학) ;
  • 윤정희 (서울대학교 수의과대학)
  • Published : 2001.09.01

Abstract

Fourteen dogs referred to veterinary Medical Teaching Hospital, Seoul National University were diagnosed as esophageal foreign body (9 cases), megaesophagus (4 cases) and esophageal stricture (1 case). Patients showed a variety of clinical signs including regurgitation, vomiting, anorexia, hypersalivation, and retching. Survey radiographic examination included the entire esophagus, including the caudal pharynx and cranial abdomen. contrast radiographs were done to identify lesions or to characterize abnormal radiographic findings on survey films. In case static contrast studies were not sufficient were not sufficient to differentiate the diseases, dynamic fluoroscopic studies were performed. In thoracic megaesophagus, when gas filled, it provided several hallmark findings such as visualization of paired longus colli muscle and tracheal stripe sign. When gas-distended, the caudal thoracic esophagus was seen as a pair of thin, soft-tissue stripes that converged into a point overlying the diaphragm and cranial abdomen. All cases of megaesophagus could be solely identified by survey radiographs. In esophageal foreign body, 6 cases out of 9 patients had the history of having foreign body and others not. Most of esophageal foreign body could be diagnosed on survey radiographs and one case with radiolucent foreign body was confirmed by esophagram. It appeared as radiopaque material along the path of esophagus and the radiopacity was determined by its nature. Obstruction caused by foreign body eventually led to dilation of the esophageal lumen cranial to the site in 3 cases. In esophageal stricture, there was no remarkable findings on survey radiograph of the thorax. However, esophagography with barium sulfate showed the narrowing of the esophagus near hiatus. On fluoroscopy, swallowed barium was stagnated cranial to the site despite the esophageal peristalsis.

Keywords

References

  1. Mod Vet Pract v.56 Esophageal foreign body in a dog Barnett RE
  2. J Am Vet Med Assoc v.161 Radiographic examination of the seophagus of the dog and cat Guffy MM
  3. J Vet Intern Med v.9 Endoscopically guided balloon dilatation of benign esophageal strictures in 6 cats and 7 dogs Harai BH;Johnson SE;Sherding RG
  4. Aust Vet J v.70 Oesophageal compliance in anturally occurring canine megaoesophagus Holland CT;Satchell PM;Farrow BR
  5. J Small Anim Pract v.40 Thoracic oesophageal foreign body in the dog: A review of ninety caese Houlton JEF;Blank EL
  6. Saunders Manual of Small Animal Practice Diseases of the esophagus and disorders of swallowing Johnson SE;Sherding RG
  7. J Am Vet Med Assoc v.201 What is your diagnosis? Esophageal hiatal hernia Kirpensteijn J;Fingland RB;Godshalk CP
  8. Vet Clin North Am v.4 Radiologic examination of the esophagus in dogs and cats Kleine LJ
  9. J Am Vet Med Assoc v.155 Esophageal foreign body in the dog Pollock S
  10. J Am Anim Hosp Assoc v.33 Esophageal/gastric adenocarcinoma in a dog Takiguchi M;Yasuda J;Hashimoto A;Ochiai K;Itakura C
  11. Textbook of Veterinary Internal Medicine(5th ed.) Disease of the esophagus Washabau RJ
  12. Texbook of Veterinary Diagnostic Radiology(3rd ed.) The esophagus Watrous BJ