Page 1119 - Cote clinical veterinary advisor dogs and cats 4th

Intestinal Pseudo-obstruction 557.e3

PEARLS & CONSIDERATIONS Client Education Whitehead K, et al: Gastrointestinal motility disorders
Early diagnosis and treatment before irreversible in critically ill dogs and cats. J Vet Emerg Crit
Care 26:234, 2016.
VetBooks.ir Patients with mechanical obstruction often associated with a better response to treatment. RELATED CLIENT EDUCATION Diseases and Disorders
Comments
intestinal smooth muscle fibrosis occurs can be
have increased peristaltic activity and associ-
ated borborygmi proximal to the obstruction.
An absence of borborygmi in a patient with SUGGESTED READING SHEETS
Zacuto AC, et al: Intestinal leiomyositis: a cause of
radiographic features of obstruction can chronic intestinal pseudo-obstruction in 6 dogs. Consent to Perform Abdominal Ultrasound
suggest functional ileus as seen with pseudo- J Vet Intern Med 30:132, 2016. Consent to Perform Endoscopy, Upper GI
obstruction. Full-thickness intestinal biopsies (Gastroduodenoscopy)
are essential for a definitive diagnosis, and ADDITIONAL SUGGESTED Consent to Perform Exploratory Laparotomy
biopsies should be obtained for patients for READINGS Consent to Perform General Anesthesia
which an obstructive lesion is not found during Di Nardo G, et al: Chronic intestinal pseudo- Consent to Perform Radiography
exploratory laparotomy. obstruction in children and adults: diagnosis and AUTHOR & EDITOR: Rance K. Sellon DVM, PhD,
therapeutic options. Neurogastroenterol Motil
Prevention 29:e12945, 2017. DACVIM
There is no known prevention for this disease. Harvey AM, et al: Chronic intestinal pseudo-
obstruction in a cat caused by visceral myopathy.
Technician Tips J Vet Int Med 19:111, 2005.
Be mindful of the risk of aspiration pneu- Mortier J, et al: Chronic intestinal pseudo-obstruction
associated with enteric ganglionitis in a Persian cat.
monia faced by affected patients. Changes in J Feline Med Surg Open Rep 2016, https://doi.
respiratory rate and/or pattern could reflect an org/10.1177/2055116916655173/.
aspiration event.

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