Page 676 - Cote clinical veterinary advisor dogs and cats 4th

309.e6 Esophageal Neoplasia

• Infection at site of feeding tube Prevention experimentally infected dogs. Vet Parasite 226:150-
161, 2016.
• Aspiration pneumonia Sarcoma formation due to S. lupi infection Dvir E, et al: Clinical differentiation between dogs
VetBooks.ir intrathoracic lesions because of relative early treatment of infection with avermectins. Ranen E, et al: Oesophageal sarcomas in dogs:
may be prevented by parasite prevention or
• Palliative radiation used with caution for
with benign and malignant spirocercosis. Vet
Parasitol 155:80-88, 2008.
intolerance of adjacent normal tissues such
Technician Tips
as the heart, lungs, and trachea
Clients may require in-depth counseling and histological and clinical evaluation. Vet J 178:78-
84, 2008.
Recommended Monitoring training on how to optimally feed dogs with
• Monitor body weight; ability to obtain ade- megaesophagus. RELATED CLIENT EDUCATION
quate nutrition orally is often compromised.
• Thoracic radiographs and regional lymph Client Education SHEETS
nodes, looking for metastasis Quality of life is often very poor unless the Consent to Administer Chemotherapy
tumor is benign and can be surgically excised. Consent to Perform Endoscopy, Upper GI
PROGNOSIS & OUTCOME (Gastroduodenoscopy)
SUGGESTED READING
Long-term prognosis is usually very poor Ranen E, et al: Partial esophagectomy with single How to Provide Elevated Feedings
How to Use and Care for an Indwelling Feeding
because of low likelihood of relieving clinical layer closure for treatment of esophageal sarcomas Tube
signs or preventing metastasis. in 6 dogs. Vet Surg 33:428-434, 2004.
Megaesophagus
PEARLS & CONSIDERATIONS ADDITIONAL SUGGESTED AUTHOR: Linda S. Fineman, DVM, DACVIM
READINGS EDITOR: Kenneth M. Rassnick, DVM, DACVIM
Comments Beugnet F, et al: Evaluation of the efficacy of monthly
Little information is available about treating oral administration of afoxolaner plus milbemycin
dogs with esophageal neoplasia, primarily oxime (NexGard Spectra®, Merial) in the preven-
because of the rarity of these tumors. tion of adult Spirocerca lupi establishment in

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