BİR KEDİDE ANESTEZİYE BAĞLI ÖZEFAGEAL STRİKTÜR

Öz

Bu olgu sunumunda ovaryohisterektomi yapılan ve izleyen iki hafta içerisinde iki kez daha anesteziye alınan bir yaşlı dişi kedide oluşan özefageal striktür açıklanmaktadır. Baryum kontrast özefagografide torasik özefagusun distalinde, mediastinum caudale’de 9-10. interkostal aralık düzeyinde özefageal striktür tespit edildi. Regurgitasyonu önlemek amacıyla hastanın yüksek bir zemin üzerine konan yumuşak gıdalarla beslenmesi önerildi. Bu uygulamayla üç gün içerisinde regurgitasyonun sona erdiği tespit edildi. Bir ay ve bir yıl sonra kontrol amaçlı alınan kontrast radyografide striktür tanısı konan bölgede anatomik yapının normal olduğu saptandı. Sonuç olarak, kedilerde iki hafta içinde tekrarlanan ksilazin ve ketamin HCl anestezisi özefageal striktür oluşumuna neden olabilir ve herhangi bir şirurjikal tedaviye başvurmadan önce yüksek zemin üzerinde yumuşak gıdalarla besleme ile iyileşebilir.

Anahtar Kelimeler: Anestezi, kedi, özefageal striktür, reflüks ezofagit

Anahtar Kelimeler

• Anestezi, kedi, özefageal striktür, reflüks ezofagit

Suspected Anesthesia Associated Esophageal Stricture Formation in a Cat

Öz

The case of esophageal stricture of a one-year-old queen that occurred after three anesthesia applications (one for ovariohysterectomy and the others for incisional wound complications) in two weeks was presented. Barium contrast esophagography provided the diagnosis of esophageal stricture located at the distal of thoracic esophagus, at the level of intercostal distance of 9-10 in mediastinum caudale. Feeding with canned food placed on a higher surface was recommended in order to prevent regurgitation and it was observed that regurgitation recovered in three days. Contrast radiography taken a month and a year later showed that location diagnosed as stricture was anatomically normal. In conclusion, repeated anesthesia performed with xylazine HCl and ketamine HCl in two weeks may contribute in developing esophageal stricture in cats and feeding with soft food from a higher surface may be preferred before any surgical treatment.

Key Words: Anesthesia, cat, esophageal stricture, reflux esophagitis

Anahtar Kelimeler

• Anesthesia, cat, esophageal stricture, reflux esophagitis

Kaynakça

1. Adamama-Moratiou, K.K., Rallis, T.S., Prassinos, N.N., Galatos, A.D., 2002. Benign esophageal stricture in the dog and cat: A retrospective study of 20 cases. Canadian Journal of Veterinary Research 66, 55-59.
2. Epstein, A., Swirsky, N., 2009. Post-anesthetic esophageal dysfunction in a dog. Israel Journal of Veterinary Medicine 64 (1), 10-13.
3. Galatos, A.D., Raptopoulos, D., 1995a. Gastrooesophageal reflux during anesthesia in the dog: The effect of preoperative fasting and premedication. Veterinary Record 137, 479-483. Galatos, A.D., Raptopoulos, D., 1995b. Gastrooesophageal reflux during anesthesia in the dog: The effect of age, positioning and type of surgical procedure. Veterinary Record 137, 5135
4. Galatos, A.D., Raptopoulos, D., 1997. Gastrooesophageal reflux during anesthesia in the dog: the effect of preoperative fasting and premedication (A). Surgical Clinics of North America 77, 1041-1062.
5. Glanemann, B., Hildebrant, N., Schneider, M.A., Moritz, A., Neiger, R., 2008. Recurrent single oesophageal stricture treated with a selfexpanding stent in a cat. Journal of Feline Medicine and Surgery 10, 505-509.
6. Glazer, A., Walters, P., 2008. Esophagitis and esophageal strictures. Compendium on Continuing Education for the Practicing Veterinarian 30, 281-92.
7. Han, E., 2003. Diagnosis and management of reflux esophagitis. Clinical Techniques in Small Animal Practice 18, 231-238.
8. Leib, M.S., Dinnel, H., Ward, D.L., Reimer, M.E., Towell, T.L., Monroe, W.E., 2001. Endoscopic balloon dilation of benign esophageal strictures in dogs and cats. Journal of Veterinary Internal Medicine 15, 547-552.

9. Ramu, B., Mohan, P., Rajasekaran, M.S., Jayanthi, V., 2010. Prevalence and risk factors for gastroesophageal reflux in pregnancy. Indian Journal of Gastroenterology, 30, 144-147.
10. Strombeck, D.R,. Harrold, D., 1985. Effects of atropine, acepromazine, meperidine, and xylazine on gastroesophageal sphincter pressure in the dog. American Journal of Veterinary Research 46, 963-965.
11. Wilson, D.V., Walshaw, R., 2004. Postanesthetic esophageal dysfunction in 13 dogs. Journal of the American Animal Hospital Association 40, 455-4
12. Wo, J.M., Waring, J.P., 1997. Medical therapy of gastroesophageal reflux and management of esophageal strictures. Surgical Clinics of North America 77, 1041-1062.
13. Yarim, M., Gültiken, M.E., Öztürk, S., Sahal, M., Bumin, A., 1999. Double aortic arch in a Siamese cat. Veterinary Pathology 36, 340-341.