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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





















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