Page 2723 - Cote clinical veterinary advisor dogs and cats 4th
P. 2723
Esophageal Motility Disorder: Treatment 1416.e1
Esophageal Motility Disorder: Treatment
VetBooks.ir Mechanical disorders Functional disorders
Tumor Stricture Hiatal hernia Gastroesophageal Idiopathic
reflux megaesophagus
Foreign Vascular Esophagitis
body ring
anomaly Investigate cause:
• Acetylcholine
receptor antibodies
(all cases)
As appropriate: Surgical • Low-fat diet • Other tests as
• Endoscopic correction • Chemical diffusion barrier applicable (p. 642)
removal (e.g., sucralfate solution)
• Surgical • Gastric acid reduction
removal (omeprazole)
• Prokinetic therapy • Elevated oral
Balloon (e.g., erythromycin, feedings
dilation or cisapride, or metoclopramide) • Gastrostomy
As indicated/if bouginage • Surgical correction– tube feeding
amenable: refractory hiatal hernia
• Chemotherapy
• Surgical resection
For any, address aspiration pneumonia if present.
(Modified from Slatter DH: Textbook of small animal surgery, ed 3, St. Louis, 2003, Saunders.)
Clinical Algorithms
www.ExpertConsult.com