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Positive rate of canine pancreatic lipase immunoreactivity (SNAP cPL) in relationship with severity of clinical signs and concurrent disorders: a retrospective study

  • Jongjin Park (Laboratory of Veterinary Internal Medicine, College of Veterinary Medicine, Jeju National University) ;
  • Solji Choi (Laboratory of Veterinary Internal Medicine, College of Veterinary Medicine, Jeju National University) ;
  • YoungMin Yun (Laboratory of Veterinary Internal Medicine, College of Veterinary Medicine, Jeju National University) ;
  • Myung-Chul Kim (The Research Institute of Veterinary Science, College of Veterinary Medicine, Jeju National University) ;
  • Woo-Jin Song (Laboratory of Veterinary Internal Medicine, College of Veterinary Medicine, Jeju National University)
  • Received : 2024.01.26
  • Accepted : 2024.08.28
  • Published : 2024.09.30

Abstract

Acute pancreatitis (AP) is a common disorder characterized by the inflammation of the exocrine pancreas in dogs, and the severity of the clinical signs of pancreatitis varies greatly. Therefore, the diagnosis of pancreatitis is challenging. The canine pancreatic lipase immunoreactivity test (SNAP cPL; IDEXX Laboratories Inc., USA) is rapid and relatively accurate in diagnosing pancreatitis. The purpose of this study was to evaluate the positivity rate of the SNAP cPL test in dogs regarding the severity of gastrointestinal (GI) signs and concurrent diseases. Electronic medical records of dogs were reviewed. For retrospective classification, 80 dogs with GI signs who underwent the SNAP cPL test were enrolled. Additionally, concurrent diseases on the day of the SNAP cPL test were reviewed. A positive SNAP cPL test result was observed in 26 of the 80 dogs (32.5%) with GI signs. The severity of GI signs using a scoring system and the positivity rate of SNAP cPL were statistically related. Furthermore, dogs with concurrent chronic kidney disease had a significantly higher positivity rate of SNAP cPL than those without chronic kidney disease. This information might help clinicians to decide whether a SNAP cPL test is needed.

Keywords

Acknowledgement

This study was funded by the National Research Foundation (NRF) of Korea grant funded by the Korea government (MSIT) (RS-2023-00252033), and also by Regional Innovation Strategy (RIS) through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (MOE) (2023RIS-009).

References

  1. Aupperle-Lellbach H, Torner K, Staudacher M, Stadler C, Tress U, Grassinger JM, et al. Histopathological findings and canine pancreatic lipase immunoreactivity in normal dogs and dogs with inflammatory and neoplastic diseases of the pancreas. J Vet Intern Med. 2020;34:1127-1134.
  2. Forman MA, Steiner JM, Armstrong PJ, Camus MS, Gaschen L, Hill SL, et al. ACVIM consensus statement on pancreatitis in cats. J Vet Intern Med. 2021;35:703-723.
  3. Dias-Pereira P. Morbidity and mortality in elderly dogs: a model for human aging. BMC Vet Res. 2022;18:457.
  4. Cridge H, MacLeod AG, Pachtinger GE, Mackin AJ, Sullivant AM, Thomason JM, et al. Evaluation of SNAP cPL, Spec cPL, VetScan cPL rapid test, and precision PSL assays for the diagnosis of clinical pancreatitis in dogs. J Vet Intern Med. 2018;32:658-664.
  5. Behrend E, Holford A, Lathan P, Rucinsky R, Schulman R. 2018 AAHA diabetes management guidelines for dogs and cats. J Am Anim Hosp Assoc. 2018;54:1-21.
  6. Behrend EN, Kooistra HS, Nelson R, Reusch CE, Scott-Moncrieff JC. Diagnosis of spontaneous canine hyperadrenocorticism: 2012 ACVIM consensus statement (small animal). J Vet Intern Med. 2013;27:1292-1304.
  7. Keene BW, Atkins CE, Bonagura JD, Fox PR, Haggstrom J, Fuentes VL, et al. ACVIM consensus guidelines for the diagnosis and treatment of myxomatous mitral valve disease in dogs. J Vet Intern Med. 2019;33:1127-1140.
  8. Kemppainen RJ, Behrend EN. Diagnosis of canine hypothyroidism: perspectives from a testing laboratory. Vet Clin North Am Small Anim Pract. 2001;31:951-962.
  9. Watson PJ, Archer J, Roulois AJ, Scase TJ, Herrtage ME. Observational study of 14 cases of chronic pancreatitis in dogs. Vet Rec. 2010;167:968-976.
  10. Watson PJ, Roulois AJ, Scase T, Johnston PE, Thompson H, Herrtage ME. Prevalence and breed distribution of chronic pancreatitis at post-mortem examination in first-opinion dogs. J Small Anim Pract. 2007;48:609-618.
  11. Bexelius TS, Ljung R, Mattsson F, Lagergren J. Cardiovascular disease and risk of acute pancreatitis in a population-based study. Pancreas. 2013;42:1011-1015.
  12. de Tersant M, Kwon T, Macher MA, Maisin A, Deschenes G, Niel O. Hypernatremia and acute pancreatitis in chronic kidney disease: back to the salt mines: questions. Pediatr Nephrol. 2018;33:1155-1156.
  13. Cridge H, Lim SY, Algul H, Steiner JM. New insights into the etiology, risk factors, and pathogenesis of pancreatitis in dogs: potential impacts on clinical practice. J Vet Intern Med. 2022;36:847-864.
  14. Cridge H, Scott N, Steiner JM. Risk factors and clinical presentation in dogs with increased serum pancreatic lipase concentrations: a descriptive analysis. Animals (Basel). 2022;12:1581.
  15. Walkowska J, Zielinska N, Tubbs RS, Podgorski M, Dlubek-Ruxer J, Olewnik L. Diagnosis and treatment of acute pancreatitis. Diagnostics (Basel). 2022;12:1974.
  16. Gruen ME, Lascelles BD, Colleran E, Gottlieb A, Johnson J, Lotsikas P, et al. 2022 AAHA pain management guidelines for dogs and cats. J Am Anim Hosp Assoc. 2022;58:55-76.