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1252  Megaesophagus                                                                                    Melena



            Megaesophagus
  VetBooks.ir  Associated Diseases and Causes in Dogs



            Central Nervous System            Neuromuscular Junction               Dermatomyositis
              Canine distemper                   Myasthenia gravis                 Cachexia
              Cervical spondylomyelopathy with leukomalacia  Botulism              Trypanosomiasis
              Brainstem lesions                  Tetanus                           Hypoadrenocorticism
              Neoplasia                          Anticholinesterase toxicity       Hypothyroidism?
              Trauma                          Esophageal Obstruction             Genetic
            Peripheral Neuropathies              Esophageal stricture              Miniature schnauzer, golden retriever, German
              Polyneuritis                       Persistent aortic arch               shepherd, Great Dane, Newfoundland,
              Polyradiculoneuritis               Esophageal tumor                     Shar-pei
              Ganglioradiculitis                 Esophageal granuloma              Muscular dystrophy (golden retriever)
              Dysautonomia                       Lower esophageal sphincter achalasia-like   Miscellaneous
              Giant cell axonal neuropathy         syndrome                        Pyloric stenosis
              Spinal muscular atrophy            Spirocerca lupi                   Gastric dilation/volvulus
              Intoxication:                      Hiatal hernia                     Pituitary dwarfism
                 Lead                            Thymoma                           Thymoma
                 Thallium                     Esophageal Musculature               Mediastinitis
                 Acrylamide                      Esophagitis                     Idiopathic
              Bilateral vagal damage             Systemic lupus erythematosus
              Tetanus                            Glycogen storage disease
              Botulism                           Polymyositis
           ?, Cause-and-effect relationship not established.
           Modified from Bonagura J: Kirk’s Current veterinary therapy XIII, St. Louis, 2000, Saunders.







            Melena



            Causes of Melena
            Ingestion of Blood                Ischemic/Traumatic                   Lymphoma
              Sinonasal lesions                  Hypovolemic shock                 Mast cell tumor
              Pulmonary lesions                  Thrombosis/infarction             Gastrinoma
              Oral/pharyngeal lesions            Intussusception                 Vascular
              Diet                               Volvulus                          Vascular ectasia/angiodysplasia
            Inflammatory                         Foreign body                      Arteriovenous fistula
              Esophagitis                        Racing sled dogs                  Gastric or esophageal varices (rare)
              Gastroenteritis                 Postsurgical                       Metabolic
              Eosinophilic gastritis             Enterotomy                        Hypoadrenocorticism
              Inflammatory bowel disease         Gastric invagination postcorrection of gastric   Uremic kidney disease
            Infectious                             dilation/volvulus               Liver disease, particularly with portal
              Bacterial: Campylobacter, Clostridium,   Percutaneous endoscopic gastrostomy tube   hypertension or portosystemic shunt(s)
                 Mycobacterium, Neorickettsia helminthoeca,   placement            Pancreatitis
                 Salmonella                   Drug-Induced                         Hypereosinophilic syndrome
              Fungal/algal: Cryptococcus, Histoplasma,   Corticosteroids         Bleeding Disorder
                 Pythium, Prototheca             Nonsteroidal antiinflammatory drugs  Thrombocytopenia
              Parasitic: Spirocerca, Physaloptera, Ancylostoma,   Neoplastic       Thrombocytopathia
                 Uncinaria                       Adenocarcinoma                    Disseminated intravascular coagulation
              Viral: parvovirus
                                                 Gastrointestinal stromal tumor    Rodenticide intoxication
                                                 Leiomyoma/leiomyosarcoma          Specific factor deficiencies
           Modified from Tefft KM: Melena and hematochezia. In Ettinger SJ, Feldman EC, Côté E, editors: Textbook of veterinary internal medicine: diseases of the dog and cat, ed 8, St. Louis, 2017, Elsevier.












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