Megaesophagus development after surgical treatment of diaphragmatic hernia in three cats

Yıl 2020, , 169 - 175, 15.06.2020

Yusuf Şen , Medine İrem Başer , İrem Ergin , Gonca Sönmez , Ali Bumin

https://doi.org/10.33188/vetheder.661451

Öz

A one year old and two three year old domestic short hair cats presented with trauma induced diaphragmatic hernia at Ankara University Animal Hospital. After clinical and radiographic examination all three cats diagnosed with diaphragmatic hernia. All cats gone under surgical repair for hernias. Several days after surgery all cats brought back to the clinic with vomiting, regurgitation and anorexia. Direct radiographs show esophageal dilatation and right shift in esophagus. Megaesophagus persisted for several weeks and was an unexpected complication as no association between diaphragmatic hernia (and diaphragmatic rupture) and megaesophagus has never been described in the veterinary literature. With medical treatment using prokinetic and antacid and high ground feeding, all cats recovered from megaesophagus without need for surgical intervention. There is no report of gastroesophageal reflux or megaesophagus associated with DH (or DY) in veterinary literature although there were three cases in very little amount of time in our clinic thus megaesophagus due to DH can be more common in cats than believed to be.

Anahtar Kelimeler

Cat, megaesophagus, diaphragmatic hernia, surgery

Üç kedide diyafram fıtığının cerrahi sağaltımı sonrası megaözefagus gelişmesi

Öz

Ankara Üniversitesi Veteriner Fakültesi Hayvan Hastanesine travma şikayeti ile başvuran bir adet bir yaşında ve iki adet üç yaşında kediye çekilen radyografiler ve klinik muayene sonucu diyafram fıtığı tanısı konuldu. Diyafram fıtığı tedavisi cerrahi olarak yapıldı. Tüm kediler birkaç gün sonra kliniğe kusma, regürgitasyon ve iştahsızlık şikayetleri ile geri getirildi. Direkt radyografilerde özefagial genişleme ve özegafusun sağa doğru yer değiştirdiği görüldü. Veteriner literatüründe megaözefagus ve diyafram fıtığı arasında bağlantı çok az sayıda olguda tanımlandığı için megaözefagus, diyafram fıtığının beklenmeyen bir komplikasyonudur. Tüm kediler prokinetik ve antiasid ilaç sağaltımı ve yüksek zeminden besleme ile cerrahi müdahaleye ihtiyaç duymadan iyileşti. Kedilerde diyafram fıtığı sonucu gelişen megaözefagus da gastroözefagial reflüye dair çok az sayıda olgu tanımlanmasına rağmen kliniğimizde kısa sürede üç hastada bu duruma rastlanması, bu durumunun düşünüldüğünden daha yaygın bir komplikasyon olduğunu göstermektedir.

Anahtar Kelimeler

Kedi, Megaözefagus, Diyafram fıtığı, cerrahi

Kaynakça

• 1. Al Nakeeb, S.,(1971): Canine and feline traumatic diaphragmatic hernias. Amer Vet Med Ass J., 159, 1422-1427 2. Beatty, J.A., N. Swift, D.J. Foster, and V.R. Barrs,(2006): Suspected clindamycin-associated oesophageal injury in cats: five cases. Journal of Feline Medicine and Surgery. 8(6): p. 412-419. 3. Chandler, E.,(1996): Textbook of Veterinary Internal Medicine, 4th edn, Ettinger, Feldman (Eds.), WB Saunders, London, ISBN: 0-7216-6795-3, WB Saunders. 4. Cooper, B.J., A.E. Dietze, and D.M. Noden,(1988): Canine congenital diaphragmatic hernia. Journal of veterinary internal medicine. 2(3): p. 109-112. 5. DC, T., Disease of the esophagus., in Textbook of Veterinary Internal Medicine (4th edn), E. SJ, Editor. 1995, WB Saunders: Philadelphia. p. pp. 1124e1142. 6. Feldman, D., M. Bree, and B. Cohen,(1968): Congenital diaphragmatic hernia in neonatal dogs. Journal of the American Veterinary Medical Association. 153(7): p. 942-944. 7. Feng, F.-H. and M.-S. Kong,(1999): Congenital esophageal stenosis treated with endoscopic balloon dilation: report of one case. Acta paediatrica Taiwanica 40(5): p. 351-353. 8. Forbes, D.C. and D.E. Leishman,(1985): Megaesophagus in a cat. The Canadian Veterinary Journal. 26(11): p. 354. 9. Garson, H., N. Dodman, and G. Baker,(1980): Diaphragmatic hernia. Analysis of fifty‐six cases in dogs and cats. Journal of Small Animal Practice. 21(9): p. 469-481. 10. German, A.J., M.J. Cannon, C. Dye, M.J. Booth, G.R. Pearson, C.A. Reay, and T.J. Gruffydd-Jones,(2005): Oesophageal strictures in cats associated with doxycycline therapy. Journal of feline medicine and surgery. 7(1): p. 33-41. 11. Guilford, W. (1990) Megaesophagus in the dog and cat. in Seminars in veterinary medicine and surgery (small animal). 12. Guilford, W. and D. Strombeck,(1996): Diseases of swallowing, 224-225. Strombeck‘s Small Animal Gastroenterology, 3rd edn. Guilford GW, Center SA, Strombeck DR, Williams DA, Meyer DJ, eds. Philadelphia, Saunders 13. Han, E., J. Broussard, and K.E. Baer,(2003): Feline esophagitis secondary to gastroesophageal reflux disease: clinical signs and radiographic, endoscopic, and histopathological findings. Journal of the American Animal Hospital Association. 39(2): p. 161-167. 14. Hoenig, M., M. Mahaffey, P. Parnell, and M. Styles,(1990): Megaesophagus in two cats. Journal of the American Veterinary Medical Association. 196(5): p. 763-765. 15. Joseph, R., S. Kuzi, E. Lavy, and I. Aroch,(2008): Transient megaoesophagus and oesophagitis following diaphragmatic rupture repair in a cat. Journal of feline medicine and surgery. 10(3): p. 284-290. 16. Keep, J.,(1950): CONGENITAL DIAPHRAGMATIC MERNIA IN A CAT. Australian veterinary journal. 26(8): p. 193-196. 17. Koot, V., J. Bergmeijer, A. Bos, and J. Molenaar,(1993): Incidence and management of gastroesophageal reflux after repair of congenital diaphragmatic hernia. Journal of pediatric surgery. 28(1): p. 48-52. 18. Lobetti, R. and A. Leisewitz,(1996): Gastroesophageal reflux in two cats. Feline practice, USA. 19. Makhoul, I., G. Shoshany, T. Smolkin, M. Epelman, and P. Sujov,(2001): Transient mega-esophagus in a neonate with congenital diaphragmatic hernia. European radiology. 11(5): p. 867-869. 20. Martinez, L., S. Gonzalez-Reyes, E. Burgos, and J. Tovar,(2004): The vagus and recurrent laryngeal nerves in experimental congenital diaphragmatic hernia. Pediatric surgery international. 20(4): p. 253-257. 21. Mears, E.A. and C.C. Jenkins,(1997): Canine and feline megaesophagus. Compendium on Continuing Education for the Practicing Veterinarian. 19(3): p. 313-326. 22. Mittal, R., J. Ren, R. McCallum, H. Shaffer Jr, and J. Sluss,(1990): Modulation of feline esophageal contractions by bolus volume and outflow obstruction. American Journal of Physiology-Gastrointestinal and Liver Physiology. 258(2): p. G208-G215. 23. Nagaya, M., H. Akatsuka, and J. Kato,(1994): Gastroesophageal reflux occurring after repair of congenital diaphragmatic hernia. Journal of pediatric surgery. 29(11): p. 1447-1451. 24. Oakes, M. and R. Pechman,(1992): What is your diagnosis? Gastric volvulus, megaesophagus and aspiration pneumonia. Journal of the American Veterinary Medical Association. 200(6): p. 835. 25. Pearson, H., C. Gaskell, C. GIBBS, and A. WATERMAN,(1974): Pyloric and oesophageal dysfunction in the cat. Journal of Small Animal Practice. 15(8): p. 487-502. 26. Poncet, C., G. Dupre, V. Freiche, M. Estrada, Y. Poubanne, and B. Bouvy,(2005): Prevalence of gastrointestinal tract lesions in 73 brachycephalic dogs with upper respiratory syndrome. Journal of small animal practice. 46(6): p. 273-279. 27. Ren, J., W.J. Dodds, C. Martin, R. Dantas, R. Mittal, S. Harrington, M. Kern, and J. Brasseur,(1991): Effect of increased intra-abdominal pressure on peristalsis in feline esophagus. American Journal of Physiology-Gastrointestinal and Liver Physiology. 261(3): p. G417-G425. 28. Strombeck, D. and W. Guilford,(1996): Pharynx and esophagus: normal structure and function. 202-209. Small Animal Gastroenterology. 3rd ed. Philadelphia: WB Saunders 29. Voges, A.K., S. Bertrand, R.C. Hill, L. Neuwirth, and M. Schaer,(1997): True diaphragmatic hernia in a cat. Veterinary Radiology & Ultrasound. 38(2): p. 116-119. 30. Westfall, D.S., D.C. Twedt, P.F. Steyn, E.B. Oberhauser, and J.W. VanCleave,(2001): Evaluation of esophageal transit of tablets and capsules in 30 cats. Journal of veterinary internal medicine. 15(5): p. 467-470. 31. Wilkinson, G.,(1970): Chronic papillomatous oesophagitis in a young cat. The Veterinary record. 87(12): p. 355-356. 32. Wilson 3rd, G. and H. Hayes Jr. (1986) Diaphragmatic hernia in the dog and cat: a 25-year overview. in Seminars in veterinary medicine and surgery 33. Wilson 3rd, G., C. Newton, and J. Burt,(1971): A review of 116 diaphragmatic hernias in dogs and cats. Journal of the American Veterinary Medical Association. 159(9): p. 1142.